St. Vincent'S First Care

LBN: St. Vincent'S First Care
St. Vincent'S First Care is an health care organization with primary practice located at 5501 Roosevelt Blvd , Jacksonville FL 32244-2345. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as the primary health care specialty. St. Vincent'S First Care can be contacted via phone (904) 379-1203, or through Reddinger, Mark via phone (904) 738-5177.

Contact Information

Primary practice address
5501 Roosevelt Blvd Jacksonville FL 32244-2345
Fax: (904) 379-9282
Website:
Authorized official contact:
Name: Reddinger, Mark

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X EXEMPT HOSPITAL OWNE Florida

Profile Details

NPI number 1871924258
LBN Legal business name St. Vincent'S First Care
DBA Doing business as
Authorized official Reddinger, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2013
Last updated Dec 10th, 2013 - about 11 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 1871924258 NPPES
Florida Other 040J BLUE CROSS FLORIDA
Florida MEDICAID 007294300 BLUE CROSS FLORIDA
Florida MEDICAID 007293401 BLUE CROSS FLORIDA

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