St Vincents Family Medicine Center

LBN: St Vincents Medical Center Inc
St Vincents Family Medicine Center is an health care organization with primary practice located at 2627 Riverside Ave , Jacksonville FL 32204-4712. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. St Vincents Medical Center Inc can be contacted via phone (904) 308-7372, or through Miyamoto, Gene via phone (904) 308-1290.

Contact Information

Primary practice address
2627 Riverside Ave Jacksonville FL 32204-4712
Phone: (904) 308-7372
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miyamoto, Gene
Phone: (904) 308-1290

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1427005131
LBN Legal business name St Vincents Medical Center Inc
DBA Doing business as St Vincents Family Medicine Center
Authorized official Miyamoto, Gene
Entity Organization
Organization subpart 1 Yes
Enumeration date May 28th, 2006
Last updated Mar 26th, 2010 - about 14 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 1427005131 NPPES
Florida MEDICAID 057339600
Florida Other 99612

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