NPIMap

Organization Active NPI

McLane Medical, Inc.

  • Medical Specialty Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1376753632
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
HCC6616 Issued in FL
Legal business name
MCLANE MEDICAL, INC.
Doing business as
POSH Medical
Practice address
140 Gateway Cir Unit 6
Jacksonville, FL 32259-4085
Phone
(904) 825-1772
Fax
(904) 825-1740
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Charles E. McLane
Title
President
Phone
(904) 825-1772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X HCC6616 FL Primary

Addresses

Primary practice location

140 Gateway Cir Unit 6
Jacksonville, FL 32259-4085

Mailing address

140 Gateway Cir Unit 6
Jacksonville, FL 32259-4085
Phone (904) 825-1772

Other names 1

  • POSH Medical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
McLane Medical Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

140 Gateway Cir
Unit 6
Jacksonville, FL 32259
Phone (904) 825-1772

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376753632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 GATEWAY CIR UNIT 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322594085",
            "telephone_number": "904-825-1772",
            "fax_number": "904-825-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 GATEWAY CIR UNIT 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322594085",
            "telephone_number": "904-825-1772",
            "fax_number": "904-825-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLANE MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCLANE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-825-1772"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "HCC6616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POSH Medical",
            "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 22, 2020; 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.