St Vincents Medical Center Inc
Organization Active NPI Psychiatric Hospital Unit · Jacksonville, FL
NPI 1629318993 · NPPES record last updated Feb 25, 2013
Key facts
- NPI
- 1629318993
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital Unit 273R00000X
- Legal business name
- ST VINCENTS MEDICAL CENTER INC
- Practice address
- 1 Shircliff Way
Jacksonville, FL 32204-4748 - Phone
- (904) 308-1258
- NPI assigned
- Feb 25, 2013
- Organization subpart
- No
Authorized official
- Name
- Mark Doyle
- Title
- Chief Financial Officer
- Phone
- (904) 308-1258
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Margaret H Duffy MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | Yes |
Addresses
Primary practice location
1 Shircliff Way
Jacksonville, FL 32204-4748
Mailing address
1 Shircliff Way
Jacksonville, FL 32204-4748
Other names
- Adult Psych
NPI Registry JSON
{
"created_epoch": "1361750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361750400000",
"number": "1629318993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SHIRCLIFF WAY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SHIRCLIFF WAY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044748",
"telephone_number": "904-308-1258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST VINCENTS MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-25",
"last_updated": "2013-02-25",
"status": "A",
"authorized_official_last_name": "DOYLE",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "904-308-1258"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Adult Psych",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jacksonville, FL
- St Vincents Ambulatory Care Inc
- St Vincents Ambulatory Care Inc
- St Vincents Electrocardiography, Inc
- St Vincents Medical Center Inc
- St Vincents Medical Center Inc
- St Vincents Pathology Associates PA
- St Vincents Physician Enterprise Inc
- Matthew Tyler St. George
- Teresa Marie St. John
- St. John'S Integrated Health, Inc.
All providers in Jacksonville, FL · Psychiatric Hospital Unit in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.