NPIMap

Organization Active NPI

CMS Jacksonville

  • Public Health or Welfare Agency
  • Jacksonville, FL
National Provider Identifier
1093781064
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CMS JACKSONVILLE
Practice address
910 North Jefferson Street
Jacksonville, FL 32209-6810
Phone
(904) 360-7070
Fax
(904) 798-4568
NPI assigned
Feb 28, 2006
Last updated
Aug 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Cathy Keathley
Title
Program Administrator
Phone
(352) 334-1394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X FL Primary

Addresses

Primary practice location

910 North Jefferson Street
Jacksonville, FL 32209-6810

Mailing address

910 North Jefferson Street
Jacksonville, FL 32209-6810
Phone (904) 360-7070

Other names 1

  • Florida Department of Health Childrens Medical Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Agape Community Health185 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1093781064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 NORTH JEFFERSON STREET",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096810",
            "telephone_number": "904-360-7070",
            "fax_number": "904-798-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 NORTH JEFFERSON STREET",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096810",
            "telephone_number": "904-360-7070",
            "fax_number": "904-798-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMS JACKSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "KEATHLEY",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "352-334-1394",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Department of Health Childrens Medical Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.