Organization Active NPI

WHC Jax LLC

  • Non-emergency Medical Transport (VAN)
  • Jacksonville, FL
National Provider Identifier
1609409259
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
WHC JAX LLC
Practice address
5154 Edward St
Jacksonville, FL 32254-1621
Phone
(904) 338-9595
NPI assigned
Feb 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Authorized official

Name
Robert Philip Gagliardi
Title
General Manager
Phone
(904) 338-9595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

5154 Edward St
Jacksonville, FL 32254-1621

Mailing address

5154 Edward St
Jacksonville, FL 32254-1621
Phone (904) 338-9595

National Provider Directory

National Provider Directory

Locations

5154 Edward St
Jacksonville, FL 32254
Phone (904) 338-9595

NPI Registry JSON

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1609409259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5154 EDWARD ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322541621",
            "telephone_number": "904-338-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5154 EDWARD ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322541621",
            "telephone_number": "904-338-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHC JAX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "GAGLIARDI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "904-338-9595"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "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 Feb 21, 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.