Active NPI
Pace Center for Girls
- PACE Provider Organization
- Jacksonville, FL
National Provider Identifier
1346433604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- Legal business name
- PACE CENTER FOR GIRLS
- Practice address
- 1 W Adams St
Suite 301
Jacksonville, FL 32202-3645 - Phone
- (904) 421-8585
- Fax
- (904) 421-8599
- NPI assigned
- Aug 21, 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
- Ms. Donna Gallagher
- Title
- Ceo
- Phone
- (904) 421-8585
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | Primary |
Addresses
Primary practice location
1 W Adams St
Suite 301
Jacksonville, FL 32202-3645
Mailing address
1 W Adams St
Suite 301
Jacksonville, FL 32202-3645
Phone (904) 421-8585
National Provider Directory
National Provider Directory- Tax ID family
- Pace Center for Girls
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Tallahassee, FL
- NPI 1528470408
Locations
1 W Adams St
Ste 301
Jacksonville, FL 32202
Phone (904) 421-8585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187654400000",
"number": "1346433604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 W ADAMS ST",
"address_2": "SUITE 301",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322023645",
"telephone_number": "904-421-8585",
"fax_number": "904-421-8599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 W ADAMS ST",
"address_2": "SUITE 301",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322023645",
"telephone_number": "904-421-8585",
"fax_number": "904-421-8599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACE CENTER FOR GIRLS",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-21",
"last_updated": "2007-08-21",
"status": "A",
"authorized_official_last_name": "GALLAGHER",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "904-421-8585",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.