SHANDS TEACHING HOSPITAL AND CLINICS INC. NPI 1588765861

NPI Information

NPI: 1588765861
Provider Name: SHANDS TEACHING HOSPITAL AND CLINICS, INC.
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1600 SW ARCHER RD
GAINESVILLE, FL
ZIP 32610
Phone: (352) 265-0139
Get Directions

SHANDS TEACHING HOSPITAL AND CLINICS, INC. is an end-stage renal disease (esrd) treatment clinic center in Gainesville, FL. SHANDS TEACHING HOSPITAL AND CLINICS, INC. NPI is 1588765861. The provider is registered as an organization entity type.

The provider's business location address is:

1600 SW ARCHER RD
GAINESVILLE, FL
ZIP 32610-003
Phone: (352) 265-0139
Fax: (352) 733-0069

The provider's authorized official is Edward Jimenez .
The authorized official title is Ceo and has the following contact phone number (352) 733-1500.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 10/13/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	4286	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10-2312	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
2	010003000	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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