NPIMap

Organization Active NPI

St Lukes - St Vincents Healthcare

  • General Acute Care Hospital
  • Jacksonville, FL
National Provider Identifier
1174438733
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
ST LUKES - ST VINCENTS HEALTHCARE
Practice address
4201 Belfort Rd Ste 4010
Jacksonville, FL 32216-1431
Phone
(904) 450-6020
NPI assigned
Aug 18, 2026
Organization subpart
Yes
Parent organization
ST LUKES - ST VINCENTS HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Jeremy Dean Kraft
Title
Director- Net Revenue
Phone
(904) 450-6020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

4201 Belfort Rd Ste 4010
Jacksonville, FL 32216-1431

Mailing address

4201 Belfort Rd Ste 4010
Jacksonville, FL 32216-1431

Other names 1

  • ASCENSION ST. VINCENT'S SOUTHSIDE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Lukes-St Vincents Healthcare5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4201 Belfort Rd
Ste 4010
Jacksonville, FL 32216

NPI Registry JSON

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

{
    "created_epoch": "1787011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1174438733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 BELFORT RD STE 4010",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BELFORT RD STE 4010",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161431",
            "telephone_number": "904-450-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES - ST VINCENTS HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST LUKES - ST VINCENTS HEALTHCARE",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "KRAFT",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "DIRECTOR- NET REVENUE",
        "authorized_official_telephone_number": "904-450-6020"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASCENSION ST. VINCENT'S SOUTHSIDE",
            "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 Aug 18, 2026; 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.