NPIMap

Organization Active NPI

Southern Baptist Hospital of Florida, Inc

  • General Acute Care Hospital
  • St Augustine, FL
National Provider Identifier
1750159604
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC
Practice address
461 Outlet Mall Blvd
St Augustine, FL 32084-2493
Phone
(904) 376-4149
Fax
(904) 618-2159
NPI assigned
Dec 19, 2023
Organization subpart
Yes
Parent organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Philip E. Boyce
Title
Chief Revenue Officer
Phone
(904) 376-3760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

461 Outlet Mall Blvd
St Augustine, FL 32084-2493

Mailing address

PO Box 746630
Atlanta, GA 30374-6630
Phone (904) 376-4149

Other names 1

  • Baptist Emergency St. Augustine Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BaptistJAXHIM@direct.bmcjax.com Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2298525Baptist Emergency St Augustine461 Outlet Mall Blvd, Saint Augustine, FL 32084AccreditationNov 19, 2026

National Provider Directory

National Provider Directory
Tax ID family
James Campbell18 organizations share this tax ID, including this one
Part of
James Campbell

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1750159604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746630",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746630",
            "telephone_number": "904-376-4149",
            "fax_number": "904-618-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 OUTLET MALL BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320842493",
            "telephone_number": "904-376-4149",
            "fax_number": "904-618-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC",
        "enumeration_date": "2023-12-19",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "BOYCE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIEF REVENUE OFFICER",
        "authorized_official_telephone_number": "904-376-3760"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BaptistJAXHIM@direct.bmcjax.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "461 Outlet Mall Blvd.",
            "city": "St. Augustine",
            "state": "FL",
            "country_code": "US",
            "postal_code": "32084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Baptist Emergency St. Augustine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baptist Emergency St. Augustine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.