Flagler Hospital, Inc.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

3665 Issued in FL

Legal business name

FLAGLER HOSPITAL, INC.

Practice address

101 Health Park Blvd
Saint Augustine, FL 32086-5777

Phone

(904) 819-5155

Fax

(904) 819-4906

NPI assigned

Aug 10, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Joseph S Gordy

Title

Ceo/President

Phone

(904) 819-4400

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Community Home HLTH3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Flagler Hospital

  • Psychiatric Hospital Unit
  • St Augustine, FL
  • NPI 1942475074
  NPD tax ID
• Flagler Hospital Inc. (Behavioral Health)

  • Psychiatry Physician
  • St Augustine, FL
  • NPI 1235505355
  NPD tax ID

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1689050965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HEALTH PARK BLVD",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865784",
            "telephone_number": "904-819-5155",
            "fax_number": "904-819-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HEALTH PARK BLVD",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865777",
            "telephone_number": "904-819-5155",
            "fax_number": "904-819-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGLER HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "GORDY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "904-819-4400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "3665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010171100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Flagler Hospital Inc. (Behavioral Health)
• Flagler Hospital, Inc.
• Flagler Hospital, Inc.
• Flagler Hospital, Inc.
• Flagler Hospital, Inc.
• Flagler OB GYN PA
• Flagler Professional Health Care Services Inc.
• Flagler Professional Health Care Services, Inc.
• Flagler Professional Health Care Services, Inc.
• Flagler Professional Health Care Services, Inc.

• Radiology Clinic/Center in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.