ST. VINCENT'S MEDICAL CENTER-CLAY COUNTY, INC. (NPI# 1457690471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457690471 |
| Entity Type | Organization |
| Organization Name | ST. VINCENT'S MEDICAL CENTER-CLAY COUNTY, INC. |
| Other Organization Name | ASCENSION ST. VINCENT'S CLAY COUNTY |
| Practice Address |
1670 St Vincents Way Middleburg FL 32068-8447 |
| Mailing Address |
4205 Belfort Road Jab # 4020 Jacksonville FL 32216 |
| Practice Telephone | 9043088446 |
| Mailing Telephone | 9044506020 |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2019-03-15 |
| Authorized Official Name | MOODY CHISHOLM (PRESIDENT) |
| Authorized Official Telephone | 9043088446 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Ascension St. Vincent's Clay County | Doing Business As Name - Organization |
| Street Address |
1670 ST VINCENTS WAY |
| City | MIDDLEBURG |
| State | FL |
| Zip Code | 32068-8447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336111533 | Jonatan De Jesus Valdez Diaz | Internal Medicine | 1670 St Vincents Way, Middleburg, FL 32068-8447 | 2006-02-02 |
| 1679122907 | Scot Joseph Poppell | Physician Assistant | 1670 St Vincents Way, Middleburg, FL 32068-8447 | 2019-09-09 |
| 1548770852 | Yvonne Amelia Romero | Registered Nurse | 1670 St Vincents Way, Middleburg, FL 32068-8447 | 2017-10-02 |
| 1619401791 | Morgan Paige Gavlik | Physician Assistant | 1670 St Vincents Way, Middleburg, FL 32068-8447 | 2017-04-17 |
| 1255703302 | Donna Jeannette Cothren | Nurse Practitioner | 1670 St Vincents Way, Middleburg, FL 32068-8447 | 2015-10-28 |
| 1720474216 | Rukma Parthvi | Internal Medicine | 1670 St Vincents Way, Suite 100, Middleburg, FL 32068-8447 | 2015-04-10 |
| 1205247210 | Northeast Florida Endocrine and Diabetes Associates, Pa | Specialist | 1670 St Vincents Way, Middleburg, FL 32068-8447 | 2014-05-13 |
| 1972786903 | Caroline O Smith | Physician Assistant | 1670 St Vincents Way, Middleburg, FL 32068-8447 | 2007-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084174 | Christopher Littles | Technician | 3122 Angora Bay Dr, Middleburg, FL 32068 | 2018-12-16 |
| 1730685157 | Children's Express Care Clinic | Pediatrics | 430 College Drive, Suite 100-102, Middleburg, FL 32068 | 2018-04-04 |
| 1588162762 | Lp Sw Jacksonville, LLC | Skilled Nursing Facility | 1280 Henley Road, Middleburg, FL 32068 | 2018-01-23 |
| 1396264982 | Michael Jessie Visita Roberts | Physical Therapy Assistant | 1648 St. Vincents Way, 100b, Middleburg, FL 32068 | 2017-09-14 |
| 1093239915 | Kevia Hart | In Home Supportive Care | 2718 Tina Lane, Middleburg, FL 32068 | 2017-08-02 |
| 1366899825 | Serena Burr | Midwife | 1986 Friendly Pl, Middleburg, FL 32068 | 2016-05-15 |
| 1932573672 | Jamie Dietrich | Physical Therapist | 2583-3 County Road 220, Middleburg, FL 32068 | 2015-11-18 |
| 1154791614 | Katherine Wenger | Physical Therapist | 2580-3 Country Road 220, Suite 3, Middleburg, FL 32068 | 2015-09-28 |
| 1699024240 | Amanda Copeland | Speech-Language Pathologist | 2823 Woodstone Dr., Middleburg, FL 32068 | 2012-08-29 |
| 1194089243 | Good Samaritan Home Companion Services, Inc. | In Home Supportive Care | 3689 Main Street, Middleburg, FL 32068 | 2012-07-03 |
| Find all providers in zip 32068 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193664 | Central Florida Health Services, LLC | General Acute Care Hospital | 6700 Lake Nona Blvd, Orlando, FL 32827-7729 | 2020-10-29 |
| 1639783509 | Public Health Trust of Miami Dade County Florida | General Acute Care Hospital | 2801 Nw 79th Ave, Doral, FL 33122-1174 | 2020-09-08 |
| 1013534445 | Sarasota Memorial Hospital | General Acute Care Hospital | 2600 Laurel Rd E, North Venice, FL 34275-3226 | 2020-07-01 |
| 1528683257 | Gainesville Vamc | General Acute Care Hospital | 2080 Child St Bldg 200h, Jacksonville, FL 32214-5005 | 2020-06-09 |
| 1184246894 | Zbeiro Corp | General Acute Care Hospital | 13952 Sw 52nd Ln, Miami, FL 33175-5166 | 2020-05-15 |
| 1962053728 | Optimum Care Medical Group | General Acute Care Hospital | 10520 Alcon Blue Dr, Riverview, FL 33578-4116 | 2019-09-24 |
| 1003465097 | Medical Center of Deltona, Inc. | General Acute Care Hospital | 3300 Halifax Crossings Blvd., Deltona, FL 32725 | 2019-09-11 |
| 1437652500 | Physicians On Call I Corp | General Acute Care Hospital | 10081 Pines Blvd Ste B, Pembroke Pines, FL 33024-6171 | 2018-03-14 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| 1659803435 | Palmetto General Hosptial | General Acute Care Hospital | 2001 West 68th St, Suite 202, Hialeah, FL 33016 | 2017-03-30 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLEBURG |
| Zip Code | 32068 |
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| 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.