Provider Type Icon

PEACHESNABASKET ADULT HEALTH SERVICES NPI 1841548898


NPI Information

NPI: 1841548898
Provider Name: PEACHESNABASKET ADULT HEALTH SERVICES

Doing Business As: PEACHESNABASKETADULT SERVICES

Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
2040 SOUTEL DR
JACKSONVILLE, FL
ZIP 32208
Phone: (904) 766-4993
Get Directions

PEACHESNABASKET ADULT HEALTH SERVICES is a point of service in Jacksonville, FL. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. PEACHESNABASKET ADULT HEALTH SERVICES NPI is 1841548898. The provider is registered as an organization entity type.
The provider Is Doing Business As Peachesnabasketadult Services.

The provider's business location address is:

2040 SOUTEL DR
JACKSONVILLE, FL
ZIP 32208-280
Phone: (904) 766-4993
Fax: (904) 713-9966

The provider's authorized official is B.dolores Flemming .
The authorized official title is Ceo and has the following contact phone number (904) 766-4993.

The enumeration date for this NPI number is 8/23/2012 and was last updated on 8/23/2012.


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
1305S00000XPoint of Service231670FLORIDAYes

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: 4/28/2024

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.