NPIMap

Organization Active NPI

Specialty Hospital

  • Special Hospital
  • Jacksonville, FL
National Provider Identifier
1508031055
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
ARNP1519732 Issued in FL
Legal business name
SPECIALTY HOSPITAL
Practice address
4901 Richard St
Jacksonville, FL 32207-7328
Phone
(904) 730-5874
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Authorized official

Name
Kevin McKeown
Title
Cfo
Phone
(904) 702-6573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X ARNP1519732 FL Primary

Addresses

Primary practice location

4901 Richard St
Jacksonville, FL 32207-7328

Mailing address

4901 Richard St
Jacksonville, FL 32207-7328
Phone (904) 730-5874

Other names 1

  • HCA Florida Memorial Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Memorial Medical Center14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1508031055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 RICHARD ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322077328",
            "telephone_number": "904-730-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 RICHARD ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322077328",
            "telephone_number": "904-730-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "MCKEOWN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "904-702-6573"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "FL",
            "license": "ARNP1519732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HCA Florida Memorial Hospital",
            "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 Mar 30, 2022; 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.