Duval County Health Department

LBN: Fl Department Of Health
Duval County Health Department is an health care organization with primary practice located at 1736 University Blvd S , Jacksonville FL 32216-8929. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Fl Department Of Health can be contacted via phone (904) 253-1100, or through Wells, Kelli T via phone (904) 253-2062.

Contact Information

Primary practice address
1736 University Blvd S Jacksonville FL 32216-8929
Phone: (904) 253-1100
Fax: (904) 727-6548
Website:
Map and Directions
Authorized official contact:
Name: Wells, Kelli T Doctor of Medicine (MD)
Phone: (904) 253-2062

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1497010425
LBN Legal business name Fl Department Of Health
DBA Doing business as Duval County Health Department
Authorized official Wells, Kelli T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 5th, 2012
Last updated Aug 14th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497010425 NPPES
Florida MEDICAID 6905561-02
Florida MEDICAID 6905561-03

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