Active NPI
Shands Teaching Hospital and Clinics Inc
- Emergency Care Clinic/Center
- Starke, FL
National Provider Identifier
1801983630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- License
- 4267
- 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, 2025
- Organization subpart
- Yes
- Parent organization
- SHANDS TEACHING HOSPITAL AND CLINICS INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 053365300 | Medicaid | FL | |
| CF9177 | Other | FL | MEDICARE 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.