St Vincent'S Full Service Urgent Care, Llc

LBN: St Vincent'S Full Service Urgent Care, Llc
St Vincent'S Full Service Urgent Care, Llc 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 Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. St Vincent'S Full Service Urgent Care, Llc can be contacted via phone (904) 683-9662, or through Mendoza, Andrea via phone (904) 450-6045.

Contact Information

Primary practice address
5501 Roosevelt Blvd Jacksonville FL 32244-2345
Phone: (904) 683-9662
Fax: (904) 683-9640
Website:
Map and Directions
Authorized official contact:
Name: Mendoza, Andrea
Phone: (904) 450-6045

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1932686151
LBN Legal business name St Vincent'S Full Service Urgent Care, Llc
DBA Doing business as
Authorized official Mendoza, Andrea
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2018
Last updated Jul 20th, 2018 - about 8 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 1932686151 NPPES
Florida MEDICAID 007294301

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