NPIMap

Organization Active NPI

NH Jacksonville

  • Military General Acute Care Hospital
  • Jacksonville, FL
National Provider Identifier
1962468389
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military General Acute Care HospitalTaxonomy code 2865M2000X
Legal business name
NH JACKSONVILLE
Practice address
2080 Child St
Jacksonville, FL 32214-5005
Phone
(904) 542-7828
NPI assigned
Apr 25, 2006
Last updated
Jun 11, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NH JACKSONVILLEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Christine Pantaleon
Title
Ubo Manager
Phone
(904) 546-6212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military General Acute Care Hospital 2865M2000X NU Primary

Addresses

Primary practice location

2080 Child St
Jacksonville, FL 32214-5005

Mailing address

2080 Child St
Jacksonville, FL 32214-5005
Phone (904) 542-7828

Other identifiers 6

IdentifierTypeStateIssuer
10-88928OtherNABP
090005982OtherMEDCO
34998OtherBC PROVIDER
92991OtherBC PROVIDER
1027809OtherAETNA
F05OtherBC PROVIDER

National Provider Directory

National Provider Directory
Tax ID family
Branch Medical Clinic Kings Bay13 organizations share this tax ID, including this one
Part of
Branch Medical Clinic Kings Bay

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1962468389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CHILD ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322145005",
            "telephone_number": "904-542-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CHILD ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322145005",
            "telephone_number": "904-542-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NH JACKSONVILLE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NH JACKSONVILLE",
        "enumeration_date": "2006-04-25",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "PANTALEON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "UBO MANAGER",
        "authorized_official_telephone_number": "904-546-6212"
    },
    "taxonomies": [
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "10-88928",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCO",
            "identifier": "090005982",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PROVIDER",
            "identifier": "34998",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PROVIDER",
            "identifier": "92991",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1027809",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PROVIDER",
            "identifier": "F05",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.