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SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC NPI 1972044857


NPI Information

NPI: 1972044857
Provider Name: SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC

Doing Business As: BAPTIST MEDICAL CENTER JACKSONVILLE

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 10D0268748

Address:
800 PRUDENTIAL DRIVE
LABORATORY
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 202-2006
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SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC is a clinical medical laboratory in Jacksonville, FL. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC NPI is 1972044857. The provider is registered as an organization entity type.
The provider Is Doing Business As Baptist Medical Center Jacksonville.

The provider's business location address is:

800 PRUDENTIAL DRIVE
LABORATORY
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 202-2006
Fax: (904) 346-0235

The provider's authorized official is A. Hugh Greene .
The authorized official title is President And Ceo and has the following contact phone number (904) 202-4011.

The CLIA number assigned to this NPI record is 10D0268748 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/13/2017 and was last updated on 3/13/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory800000149FLORIDAYes

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
1100641-00MEDICAIDFLORIDA
210/0088MEDICARE UPIN

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

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