Concentra Medical Center-Jax Northside

LBN: Concentra Medical Center-Jax Northside
Concentra Medical Center-Jax Northside is an health care organization with primary practice located at 1215 Dunn Ave Ste. 7, Jacksonville FL 32218-6330. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Concentra Medical Center-Jax Northside can be contacted via phone (904) 757-5656, or through Fogarty, Tom via phone (800) 232-3550.

Contact Information

Primary practice address
1215 Dunn Ave Ste. 7 Jacksonville FL 32218-6330
Phone: (904) 757-5656
Fax: (904) 757-5650
Website:
Map and Directions
Authorized official contact:
Name: Fogarty, Tom Doctor of Medicine (MD)
Phone: (800) 232-3550

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1629264288
LBN Legal business name Concentra Medical Center-Jax Northside
DBA Doing business as
Authorized official Fogarty, Tom Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2007
Last updated Sep 18th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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