AIDS Healthcare Foundation
Organization Active NPI Health Service Clinic/Center · Jacksonville, FL
NPI 1679557201 · NPPES record last updated Sep 11, 2019
Key facts
- NPI
- 1679557201
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- License
- G011429001A (FL)
- Legal business name
- AIDS HEALTHCARE FOUNDATION
- Practice address
- 2 Shircliff Way
Suite 900
Jacksonville, FL 32204-3812 - Phone
- (904) 381-9651
- Fax
- (904) 389-9319
- NPI assigned
- Dec 6, 2005
- Organization subpart
- No
Authorized official
- Name
- Donna Stidham
- Title
- Chief, Managed Care
- Phone
- (323) 436-5025
Other NPIs on the same Medicare enrollment 26
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050525000558 | FL | Part B Supplier - Clinic/Group Practice | 2668369109 |
Receives reassigned benefits from 75 practitioners 26 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Miami Beach, FL; Ft Lauderdale, FL; North Miami Beach, FL; Orlando, FL; Pensacola, FL; Safety Harbor, FL; St Petersburg, FL; Tampa, FL… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | G011429001A | FL | Yes |
Addresses
Primary practice location
2 Shircliff Way
Suite 900
Jacksonville, FL 32204-3812
Mailing address
6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200
Other names
- AHF
Other providers in Jacksonville, FL
- Gabrielle Elizabeth Ahrens
- Zahid M Ahsan
- Ahsap Support Services LLC
- Aidaly Care Jacksonville LLC
- Uwayemwen Ogbonmwonkpa Aideyan
- James John Aiello
- Emani Aikens-Rollins
- Meghna Ailawadhi
- Sikander Ailawadhi
- Giovanni Antonio Aime
All providers in Jacksonville, FL · Health Service Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.