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Contact Information

NH JACKSONVILLE
2080 CHILD ST
JACKSONVILLE, FL32214-5005
 Phone: 904-542-7828
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Military General Acute Care Hospital

2865M2000X
Indicates primary specialty

NPI Profile & details for NH JACKSONVILLE

NPI # 1962468389
LBN Legal business name NH JACKSONVILLE
Authorized official CHRISTINE PANTALEON - (UBO MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/25/2006
Last updated 06/11/2025 - About 12 months ago
Identifiers
Other 1027809 AETNA
Other 34998 BC PROVIDER
Other 92991 BC PROVIDER
Other F05 BC PROVIDER
Other 090005982 MEDCO
Other 10-88928 NABP
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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