National Provider Identifier Database

NH JACKSONVILLE
Military General Acute Care Hospital

A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in ?fixed? facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A ?fixed? facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the ?fixed? facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as ?pass-through? items.


Contact Information

NH JACKSONVILLE
2080 CHILD ST
JACKSONVILLE, FL32214-5005
Phone: 904-542-7828
Fax:
Website:
Specialty Taxonomy Code
* Military General Acute Care Hospital 2865M2000X

* Indicates primary specialty

NPI Profile & details for NH JACKSONVILLE

NPI Number 1962468389
Legal business name
LBN
NH JACKSONVILLE
Authorized official CHRISTINE PANTALEON - (UBO MANAGER)
Entity Organization
Organization subpart Yes
Enumeration date 04/25/2006
Last updated 06/11/2025 - About 12 months ago
Sole proprietor1 Not specified
Identifiers
  • Other: 1027809 AETNA
  • Other: 34998 BC PROVIDER
  • Other: 92991 BC PROVIDER
  • Other: F05 BC PROVIDER
  • Other: 090005982 MEDCO
  • Other: 10-88928 NABP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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