NPIMap

Organization Active NPI

Flagler Professional Health Care Services, Inc.

Doing business as Flagler Care Center

  • Family Medicine Physician
  • St Augustine, FL
National Provider Identifier
1104347020
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FLAGLER PROFESSIONAL HEALTH CARE SERVICES, INC.
Doing business as
Flagler Care Center
Practice address
120 Health Park Blvd Ste 1
Saint Augustine, FL 32086-5798
Phone
(904) 823-3401
Fax
(904) 829-8649
NPI assigned
Jun 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Authorized official

Name
Jason Barrett
Title
Hospital President
Phone
(904) 819-4400

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X

Addresses

Primary practice location

120 Health Park Blvd Ste 1
Saint Augustine, FL 32086-5798

Mailing address

120 Health Park Blvd Ste 1
Saint Augustine, FL 32086-5798
Phone (904) 819-4602

Other names 1

  • Flagler Care Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

33 Old Kings Rd N
Ste 3
Palm Coast, FL 32137
Phone (386) 445-1100

270 Plaza Blvd
Ste B5
Saint Augustine, FL 32086

304 Ashourian Ave
Ste 105
St Augustine, FL 32092
Phone (904) 819-1006

70 Turin Ter
Ste 220
St Augustine, FL 32092
Phone (904) 819-3000

120 Health Park Blvd
St Augustine, FL 32086
Phone (888) 481-2135

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1104347020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HEALTH PARK BLVD STE 1",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865798",
            "telephone_number": "904-819-4602",
            "fax_number": "904-819-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HEALTH PARK BLVD STE 1",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865798",
            "telephone_number": "904-823-3401",
            "fax_number": "904-829-8649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGLER PROFESSIONAL HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-30",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "HOSPITAL PRESIDENT",
        "authorized_official_telephone_number": "904-819-4400"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flagler Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.