MEMORIAL HEALTHCARE GROUP, INC.; NPI #1851348429

Contact Information

MEMORIAL HEALTHCARE GROUP, INC.

4901 RICHARD ST
JACKSONVILLE, FL 32207-7328

Phone: 904-737-3120
Fax: 904-730-5991
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Long Term Care Hospital	282E00000X	A0[7]	Hospital-Long-Term (PPS excluded)

Indicates primary specialty

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NPI Profile & details for MEMORIAL HEALTHCARE GROUP, INC.

NPI Number 1851348429

LBN Legal business name MEMORIAL HEALTHCARE GROUP, INC.

Authorized official BILLY WILCOX - (CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/28/2006

Last updated 03/30/2022 - About 4 years ago

Identifiers

FL	Medicaid	10647000
GA	Medicaid	000152996X
NY	Medicaid	00404233
FL	Other	044069	AVMED
FL	Other	Y34	BLUE CROSS/HOPT

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MEMORIAL HEALTHCARE GROUP, INC.

Contact Information

Specialty

Long Term Care Hospital

NPI Profile & details for MEMORIAL HEALTHCARE GROUP, INC.

Reviews for MEMORIAL HEALTHCARE GROUP, INC.