Concentra Advance Specialists Southside

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

CONCENTRA ADVANCE SPECIALISTS SOUTHSIDE

Practice address

4933 University Blvd W
Jacksonville, FL 32216-5935

Phone

(717) 972-1100

NPI assigned

Mar 30, 2017

Last updated

Mar 30, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Hassett

Title

Director

Phone

(972) 364-8000

Specialties & licenses 1

Addresses

Tax ID family

US Medgroup PA55 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• U.S. Medgroup, P.a.

  • Urgent Care Clinic/Center
  • Jacksonville, FL
  • NPI 1467999375
  NPD tax ID
• West Palm Beach

  • Urgent Care Clinic/Center
  • West Palm Beach, FL
  • NPI 1962941302
  NPD tax ID

Locations

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1699207555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4933 UNIVERSITY BLVD W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165935",
            "telephone_number": "717-972-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCENTRA ADVANCE SPECIALISTS SOUTHSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "HASSETT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-364-8000"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoya Compton
• Sheila Compton, LCSW
• Junilyn Comunale, RN
• Jennifer Conaway, RN
• John Conboy, RBT
• Concentra Health Services, Inc. (Concentra Medical Center)
• Concentra Health Services, Inc. (Concentra Medical Center)
• Concentra Medical Center-Jax Northside
• Jerica Concepcion Hernandez
• Eugenio Giron Concepcion III, DO

• Urgent Care Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Urgent Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.