NPIMap

Organization Active NPI

St. Joseph's Hospital Tampa Care Clinic

  • Case Management Agency
  • Tampa, FL
National Provider Identifier
1194042184
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ST. JOSEPH'S HOSPITAL TAMPA CARE CLINIC
Practice address
2123 W Dr Martin Luther King Jr Blvd Ste 201
Tampa, FL 33607-6545
Phone
(813) 870-4460
Fax
(813) 870-4459
NPI assigned
Apr 29, 2010
Last updated
Aug 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Ms. Mary F Jones, BA
Title
Case Manager
Phone
(813) 870-4460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X FL Primary

Addresses

Primary practice location

2123 W Dr Martin Luther King Jr Blvd Ste 201
Tampa, FL 33607-6545

Mailing address

2123 W Dr Martin Luther King Jr Blvd Ste 201
Tampa, FL 33607-6545
Phone (813) 870-4460

Other practice location 1

4600 N Habana Ave
Suite 15
Tampa, FL 33614-7112
Phone (813) 870-4460 ext. 266

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0961048St Joseph's Hospital Inc2123 W Dr MLK Jr Blvd Suite 201, Tampa, FL 33607Certificate of waiverMay 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
St Joseph's Hospital Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

2123 W Mlk Blvd
Ste 201
Tampa, FL 33607
Phone (813) 870-4460

4600 N Habana Ave
Ste 15
Tampa, FL 33614
Phone (813) 870-4460

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1194042184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 W DR MARTIN LUTHER KING JR BLVD STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076545",
            "telephone_number": "813-870-4460",
            "fax_number": "813-870-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 W DR MARTIN LUTHER KING JR BLVD STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076545",
            "telephone_number": "813-870-4460",
            "fax_number": "813-870-4459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 N Habana Ave",
            "address_2": "Suite 15",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336147112",
            "country_code": "US",
            "telephone_number": "813-870-4460 x266",
            "fax_number": "813-870-4459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. JOSEPH'S HOSPITAL TAMPA CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "813-870-4460",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.