ST VINCENT'S FULL SERVICE URGENT CARE, LLC – NPI #1285111484
Clinic/Center

ST VINCENT'S FULL SERVICE URGENT CARE, LLC is an AHC clinic located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1285111484 to ST VINCENT'S FULL SERVICE URGENT CARE, LLC on July 20, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST VINCENT'S FULL SERVICE URGENT CARE, LLC below.

NPI Profile for
ST VINCENT'S FULL SERVICE URGENT CARE, LLC

NPI Number
1285111484
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST VINCENT'S FULL SERVICE URGENT CARE, LLC
Primary location
15510 MAX LEGGETT PARKWAY
STE A
JACKSONVILLE, FL 32218
Phone: (904) 450-8600 Fax: (904) 450-8686
Mailing address
4205 BELFORT RD STE 4015
JACKSONVILLE, FL 32216-3623
Phone: Fax:
Organization Subpart
No
Authorized Official
ANDREA MENDOZA
CHIEF REVENUE CYCLE SPECIALIST
Phone: (904) 450-6045
Updated
Identifiers

Identifiers for ST VINCENT'S FULL SERVICE URGENT CARE, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL007294308
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.