ASCENSION ST VINCENT'S MEDICAL GROUP – NPI #1679226690
Durable Medical Equipment & Medical Supplies

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

ASCENSION ST VINCENT'S MEDICAL GROUP is a DME supplier located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1679226690 to ASCENSION ST VINCENT'S MEDICAL GROUP on January 31, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ASCENSION ST VINCENT'S MEDICAL GROUP” is a dba name, the actual legal business name for this organization is ST VINCENTS AMBULATORY CARE INC. The primary taxonomy selected by this provider is 332B00000X from the Health Care Provider Taxonomy code set, which is classified as Durable Medical Equipment & Medical Supplies.

The NPI profile was previously updated about 4 years ago on Oct 17, 2022. 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 ASCENSION ST VINCENT'S MEDICAL GROUP below.

NPI Profile for
ST VINCENTS AMBULATORY CARE INC

NPI Number
1679226690
Enumeration Date

(more than 4 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 VINCENTS AMBULATORY CARE INC
Doing Business As (dba): ASCENSION ST VINCENT'S MEDICAL GROUP
Primary location
425 N LEE ST STE 101
JACKSONVILLE, FL 32204-1128
Phone: (904) 450-8762 Fax:
Mailing address
4500 SAILSBURY RD STE 210
JACKSONVILLE, FL 32216
Phone: (904) 308-6169 Fax: (904) 308-4085
Organization Subpart
Yes - ASCENSION ST VINCENT'S MEDICAL GROUP is subpart of another organization.
Authorized Official
MIRANDA HEMM
ENROLLMENT MANAGER
Phone: (904) 450-6004
Updated
Certification Date
Oct 17, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ASCENSION ST VINCENT'S MEDICAL GROUP

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
medicaidFL276587086
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
332B00000X
- Durable Medical Equipment & Medical Supplies (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.