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AMELIA URGENT CARE LLC NPI 1720417884


NPI Information

NPI: 1720417884
Provider Name: AMELIA URGENT CARE LLC
Classification: Clinic/Center - 261QC0050X
Entity Type: Organization

Specialization: Critical Access Hospital

Address:
96279 BRADY POINT RD
FERNANDINA BEACH, FL
ZIP 32034
Phone: (904) 321-1177
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AMELIA URGENT CARE LLC is a critical access hospital clinic center in Fernandina Beach, FL. The provider is an outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. AMELIA URGENT CARE LLC NPI is 1720417884. The provider is registered as an organization entity type.

The provider's business location address is:

96279 BRADY POINT RD
FERNANDINA BEACH, FL
ZIP 32034-076
Phone: (904) 321-1177
Fax: (904) 321-0016

The provider's authorized official is Daniel Matricia .
The authorized official title is Medical Director/owner and has the following contact phone number (904) 583-3016.

The enumeration date for this NPI number is 11/8/2013 and was last updated on 11/8/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QC0050XClinic/CenterCritical Access HospitalOS6933FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AA555MEDICARE UPINFLORIDA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.