St. Johns River Rural Health Network

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

ST. JOHNS RIVER RURAL HEALTH NETWORK

Practice address

644 Cesery Blvd
Suite 210
Jacksonville, FL 32211-7116

Phone

(904) 723-2162

Fax

(904) 723-2170

NPI assigned

Feb 27, 2007

Last updated

Apr 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lori Ann Bilello

Title

Administrator

Phone

(904) 723-2162

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1215064126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 CESERY BLVD",
            "address_2": "SUITE 210",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322117165",
            "telephone_number": "904-723-2162",
            "fax_number": "904-723-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 CESERY BLVD",
            "address_2": "SUITE 210",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322117116",
            "telephone_number": "904-723-2162",
            "fax_number": "904-723-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHNS RIVER RURAL HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "BILELLO",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-723-2162",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "914321100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Tyler St. George, RD
• Teresa Marie St. John, PT
• St. John's Integrated Health, Inc.
• St. Johns Bluff Family Practice
• St. Johns Interventional and Vascular Institute
• St. Johns Vein Center, Inc.
• St. Levon Haven, LLC
• Adrienne St. Louis
• St. Vincent's First Care
• St. Vincent's First Care-Normandy

• Case Management Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.