CMS JACKSONVILLE (NPI# 1093781064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093781064 |
Entity Type | Organization |
Organization Name | CMS JACKSONVILLE |
Other Organization Name | FLORIDA DEPARTMENT OF HEALTH CHILDRENS MEDICAL SERVICES |
Practice Address |
910 North Jefferson Street Jacksonville FL 32209-6810 |
Practice Telephone | 9043607070 |
Practice Fax Number | 9047984568 |
Mailing Telephone | 9043607070 |
Mailing Fax Number | 9047984568 |
Enumeration Date | 2006-02-28 |
Last Update Date | 2007-08-14 |
Authorized Official Name | MS. CATHY KEATHLEY (PROGRAM ADMINISTRATOR) |
Authorized Official Telephone | 3523341394 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251K00000X | Public Health or Welfare | FL | Agencies |
Other Name | Type Code |
---|---|
Florida Department of Health Childrens Medical Services | Other Name - Individual/Organization |
Street Address |
910 NORTH JEFFERSON STREET |
City | JACKSONVILLE |
State | FL |
Zip Code | 32209-6810 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710506183 | Hayley M Shade | Student in an Organized Health Care Education/Training Program | 655 8th St. W., 4th Floor, Lrc 653-1 West 8th Street, L18, Jacksonville, FL 32209 | 2020-04-15 |
1407484629 | Micah Christine Turpeau | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2020-04-01 |
1730716366 | Nikki Javia | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Fl 4, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
1336776061 | Samuel Kamoroff | Student in an Organized Health Care Education/Training Program | 653-1 West 8th Street, 4th Floor, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
1376194092 | Donald Wayne Johnson Jr. | Pharmacist | Uf Health Jacksonville, 655 West 8th Street, Jacksonville, FL 32209 | 2019-09-24 |
1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
1295296499 | Christian King | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2019-03-29 |
1013478403 | David William Barton | Orthopaedic Surgery | 655 W 8th St, Box C-126, Jacksonville, FL 32209 | 2019-03-27 |
1912497108 | Lisa Jordan | Adult Companion | 1515 W 31st St, Jacksonville, FL 32209 | 2018-05-14 |
1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
Find all providers in zip 32209 |
Taxonomy Code | 251K00000X |
Grouping | Agencies |
Classification | Public Health or Welfare |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326670357 | Blackstone Home Healthcare LLC | Public Health or Welfare | 101 Century 21 Dr Ste 208, Jacksonville, FL 32216-9293 | 2020-02-07 |
1427413855 | Lindsey Pest Services Inc. | Public Health or Welfare | 9168 Parker Ave, Jacksonville, FL 32218-5758 | 2015-12-30 |
1174840292 | National Mentor Healthcare, LLC | Public Health or Welfare | 10 Dewitt St, Jacksonville, NC 28540-5649 | 2010-04-29 |
1730398827 | Cherokee County Health Department | Public Health or Welfare | 510 East Commerce, Jacksonville, TX 75766 | 2007-05-22 |
1316974595 | County of Morgan Health Dept | Public Health or Welfare | 345 W State Street, Jacksonville, IL 62650-1879 | 2006-06-26 |
1528034170 | Florida Department of Health | Public Health or Welfare | 900 University Blvd N, Mc-75, Jacksonville, FL 32211-5530 | 2006-02-24 |
1568448587 | County of Onslow | Public Health or Welfare | 234 Nw Corridor Blvd, Jacksonville, NC 28540-5309 | 2005-12-21 |
1922616788 | May Enterprises LLC | Public Health or Welfare | 12724 Gran Bay Pkwy W Ste 410, Jacksonville, FL 32258-9486 | 2020-07-17 |
1700369857 | Theresa Council LLC | Public Health or Welfare | 2815 Melson Ave, Jacksonville, FL 32254-1853 | 2018-09-13 |
1134619208 | Omega Health and Nutrition LLC | Public Health or Welfare | 2624 Atlantic Blvd, Jacksonville, FL 32207-3609 | 2018-05-15 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32209 |
Please comment or provide details below to improve the information on CMS JACKSONVILLE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.