Active NPI
Baptist Occupational Health, Inc.
- Urgent Care Clinic/Center
- Jacksonville, FL
National Provider Identifier
1124159090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- BAPTIST OCCUPATIONAL HEALTH, INC.
- Practice address
- 1021 Cesery Blvd
Jacksonville, FL 32211-5609 - Phone
- (904) 743-2466
- Fax
- (904) 743-4070
- NPI assigned
- Mar 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Earl B Mally
- Title
- Sr Vice President
- Phone
- (904) 376-4275
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | FL | Primary |
Addresses
Primary practice location
1021 Cesery Blvd
Jacksonville, FL 32211-5609
Mailing address
3563 Phillips Hwy
Suite 106
Jacksonville, FL 32207-5663
Phone (904) 202-5304
Other names 1
- Baptist Urgent Care - Arlington
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258070400000",
"number": "1124159090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3563 PHILLIPS HWY",
"address_2": "SUITE 106",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322075663",
"telephone_number": "904-202-5304",
"fax_number": "904-202-5587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 CESERY BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322115609",
"telephone_number": "904-743-2466",
"fax_number": "904-743-4070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAPTIST OCCUPATIONAL HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-09",
"last_updated": "2009-11-13",
"status": "A",
"authorized_official_last_name": "MALLY",
"authorized_official_first_name": "EARL",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "SR VICE PRESIDENT",
"authorized_official_telephone_number": "904-376-4275"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Baptist Urgent Care - Arlington",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.