NPIMap

Organization Active NPI

Shands Teaching Hospital and Clinics Inc

  • Mobile Mammography Clinic/Center
  • Gainesville, FL
National Provider Identifier
1720972136
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Mammography Clinic/CenterTaxonomy code 261QR0207X
Legal business name
SHANDS TEACHING HOSPITAL AND CLINICS INC
Practice address
4037 NW 86TH Ter
Gainesville, FL 32606-9281
Phone
(352) 594-1693
Fax
(352) 495-1709
NPI assigned
Jun 9, 2025
Organization subpart
Yes
Parent organization
SHANDS TEACHING HOSPITAL AND CLINICS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Authorized official

Name
Michael D. Holmes
Title
Ceo
Phone
(352) 733-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Mammography Clinic/Center 261QR0207X Primary

Addresses

Primary practice location

4037 NW 86TH Ter
Gainesville, FL 32606-9281

Mailing address

PO Box 100303
Gainesville, FL 32610-0303

Other names 1

  • UF Health Mobile Cancer Screening Connector Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260224003989 FL Part B Supplier - Mammography Center 2163336504 Practice locations: Gainesville, FL

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Alachua Gen Hosp Inc34 organizations share this tax ID, including this one
Part of
Alachua Gen Hosp Inc

Other organizations with this tax ID 33

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

View all 33

Locations

4037 NW 86th Ter
Gainesville, FL 32606
Phone (352) 265-0820

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Uf Health ShandsGainesville, FL, CCN 100113 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2008
Uf Health Psychiatric HospitalGainesville, FL, CCN 10S113 Hospital 5% Or Greater Direct Ownership Interest Jan 1, 2008
Uf Health Flagler HospitalSt Augustine, FL, CCN 100090 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2023
Flagler Home Care, LLCSaint Augustine, FL, CCN 108211 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Sep 1, 2023

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767139200000",
    "number": "1720972136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100303",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4037 NW 86TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326069281",
            "telephone_number": "352-594-1693",
            "fax_number": "352-495-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANDS TEACHING HOSPITAL AND CLINICS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHANDS TEACHING HOSPITAL AND CLINICS INC",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-733-1500"
    },
    "taxonomies": [
        {
            "code": "261QR0207X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UF Health Mobile Cancer Screening Connector",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.