NPIMap

Organization Active NPI

Physicians Medical Centers-Jax Inc

  • Urgent Care Clinic/Center
  • Orange Park, FL
National Provider Identifier
1336320753
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
OS9034 Issued in FL
Legal business name
PHYSICIANS MEDICAL CENTERS-JAX INC
Practice address
2020 Kingsley Ave Ste a
Orange Park, FL 32073-5139
Phone
(904) 458-1308
Fax
(904) 458-1313
NPI assigned
Nov 15, 2007
Last updated
Dec 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Authorized official

Name
Jennifer Norville
Title
Director of Urgent Care
Phone
(904) 458-1308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X OS9034 FL Primary

Addresses

Primary practice location

2020 Kingsley Ave Ste a
Orange Park, FL 32073-5139

Mailing address

9826 San Jose Blvd
Jacksonville, FL 32257-5438
Phone (904) 262-9444

National Provider Directory

National Provider Directory

Locations

2970 Hartley Rd
Ste 106
Jacksonville, FL 32257

2020 Kingsley Ave
Ste A
Orange Park, FL 32073
Phone (904) 458-1308

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1336320753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9826 SAN JOSE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575438",
            "telephone_number": "904-262-9444",
            "fax_number": "904-292-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 KINGSLEY AVE STE A",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735139",
            "telephone_number": "904-458-1308",
            "fax_number": "904-458-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS MEDICAL CENTERS-JAX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "NORVILLE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR OF URGENT CARE",
        "authorized_official_telephone_number": "904-458-1308"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "OS9034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.