Organization Active NPI

Shands Teaching Hospital and Clinics Inc

  • Emergency Care Clinic/Center
  • Starke, FL
National Provider Identifier
1801983630
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
4267 Issued in FL
Legal business name
SHANDS TEACHING HOSPITAL AND CLINICS INC
Practice address
922 E Call St
Starke, FL 32091-3616
Phone
(907) 368-2000
Fax
(352) 733-0069
NPI assigned
Oct 5, 2006
Last updated
Dec 31, 2025By the provider in NPPES
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
Mr. Michael D. Holmes
Title
Ceo
Phone
(352) 733-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 4267 FL Primary

Addresses

Primary practice location

922 E Call St
Starke, FL 32091-3616

Mailing address

PO Box 100303
Gainesville, FL 32610-0303
Phone (352) 627-9045

Other identifiers 2

IdentifierTypeStateIssuer
053365300MedicaidFL
CF9177OtherFLMEDICARE RAIL ROAD

National Provider Directory

National Provider Directory
Part of
Shands at Starke ER Phy

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767139200000",
    "number": "1801983630",
    "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",
            "telephone_number": "352-627-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 E CALL ST",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320913616",
            "telephone_number": "907-368-2000",
            "fax_number": "352-733-0069"
        }
    ],
    "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": "2006-10-05",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "FL",
            "license": "4267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053365300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "CF9177",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Starke, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.