Shands Surgical Specialists Of Lake City
LBN: Shands At Lake Shore Inc
Shands Surgical Specialists Of Lake City is an health care organization with primary practice located at 755 Sw State Road 47 , Lake City FL 32025-0453. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Shands At Lake Shore Inc can be contacted via phone (386) 755-7788, or through Mansfield, Jodi via phone (352) 265-0440.
Contact Information
Primary practice address
755 Sw State Road 47
Lake City FL 32025-0453
Phone: (386) 755-7788
Fax: (352) 733-0069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1871692475 |
|---|---|
| LBN Legal business name | Shands At Lake Shore Inc |
| DBA Doing business as | Shands Surgical Specialists Of Lake City |
| Authorized official | Mansfield, Jodi |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| Last updated | May 7th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871692475 | NPPES |
| Florida | Other | CK8077 | MEDICARE RR |
| Florida | MEDICAID | 264258101 | MEDICARE RR |
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