ST VINCENTS AMBULATORY CARE INC (NPI# 1558344978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558344978 |
| Entity Type | Organization |
| Organization Name | ST VINCENTS AMBULATORY CARE INC |
| Other Organization Name | HILLIARD MEDICAL CENTER, INC. |
| Practice Address |
551616 Us Highway 1 Hilliard FL 32046-8281 |
| Practice Telephone | 9048453574 |
| Practice Fax Number | 9048457418 |
| Mailing Telephone | 9048453574 |
| Mailing Fax Number | 9048457418 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2019-08-26 |
| Authorized Official Name | LINDA E GOODEN (AMG ADMINISTRATION) |
| Authorized Official Telephone | 9044508288 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP1440112 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Hilliard Medical Center, Inc. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417987124 | St Vincents Ambulatory Care Inc | Internal Medicine | 2 Shircliff Way, Suite 600, Jacksonville, FL 32204-4742 | 2006-07-05 |
| Street Address |
551616 US HIGHWAY 1 |
| City | HILLIARD |
| State | FL |
| Zip Code | 32046-8281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497737910 | Susan Urell Irvin | Nurse Practitioner | 551616 Us Highway 1, Hilliard, FL 32046-8281 | 2005-11-18 |
| 1154898666 | Jack William Mounce | Nurse Practitioner | 551616 Us Highway 1, Hilliard, FL 32046-8281 | 2018-11-01 |
| 1063706026 | Amanda Lee West | Nurse Practitioner | 551616 Us Highway 1, Hilliard, FL 32046-8281 | 2011-06-07 |
| 1447270400 | Kimberly Bravo | Nurse Practitioner | 551616 Us Highway 1, Hilliard, FL 32046-8281 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265905004 | Mcci Group Holdings LLC | Family Medicine | 551856 Us Highway, Suite 108, Hilliard, FL 32046 | 2019-01-04 |
| 1538615745 | Kayla Jones | Specialist/Technologist | 38224 Appian Way, Hilliard, FL 32046 | 2016-08-28 |
| 1508259920 | Michael Amer Nackashi | Case Management | 551856 Us Hwy 1, Hilliard, FL 32046 | 2015-03-10 |
| 1669826434 | Yolanda Sabrina Carter | Chore Provider | 552382 Us Highway 1, Hilliard, FL 32046-2328 | 2016-04-19 |
| 1588279210 | Galleon Homecare Services, Inc. | Skilled Nursing Facility | 552382 Us Highway 1, Hilliard, FL 32046-2328 | 2020-09-10 |
| 1073969077 | Galleon Homecare Services, Inc. | Clinic/Center | 552382 Us Highway 1, Hilliard, FL 32046-2328 | 2016-05-09 |
| 1922346204 | Dayspring Village, Inc. | Assisted Living Facility | 554820 Us Highway 1, Hilliard, FL 32046-2846 | 2013-01-22 |
| 1841751070 | Dayspring Village, Inc. | Clinical Medical Laboratory | 554820 Us Highway 1, Hilliard, FL 32046-2846 | 2019-03-29 |
| 1508470527 | Lyla Marie Smith | Family Medicine | 2432 Ruby Dr, Hilliard, FL 32046-5462 | 2020-09-08 |
| 1801207360 | George Weldon Lewis | Veterinarian | 4842 Absolute Dr, Hilliard, FL 32046-6314 | 2014-05-17 |
| Find all providers in zip 32046 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
| 1952917015 | Bonifay Rural Health Cinic | Clinic/Center | 2910 Hospital Dr Ste A, Bonifay, FL 32425-4268 | 2020-09-23 |
| 1013540947 | Clark Clinic Inc | Clinic/Center | 12620 Curley St, San Antonio, FL 33576-8136 | 2020-02-19 |
| 1023506532 | Sacred Heart Hospital On The Gulf | Clinic/Center | 805 Highway 22, Wewahitchka, FL 32465-3237 | 2018-04-30 |
| 1639693492 | Clark Clinic Inc | Clinic/Center | 910 W Myers Blvd, Mascotte, FL 34753-9748 | 2017-08-02 |
| 1194173419 | Holmes County Hospital Corporation | Clinic/Center | 5556 Brown St, Graceville, FL 32440-1007 | 2016-05-26 |
| 1568826873 | Healthvine Medical Group Inc | Clinic/Center | 725 Benton Ave, Brooksville, FL 34601-3213 | 2016-04-12 |
| 1164808465 | Family and After Hours Care, LLC | Clinic/Center | 1413 Nw 23rd Ave, Chiefland, FL 32626 | 2015-08-10 |
| 1891171914 | High Springs Pediatrics LLC. | Clinic/Center | 14900 Nw 140th St, Alachua, FL 32615-6276 | 2015-07-31 |
| 1982963344 | Sacred Heart Hospital On The Gulf | Clinic/Center | 55 Avenue 'e', Apalachicola, FL 32320-1763 | 2012-05-04 |
| 1760776900 | Sonnis Pediatrics, Inc. | Clinic/Center | 1125 S 6th Ave, Wauchula, FL 33873-3350 | 2011-06-06 |
| Find all providers with the same taxonomy | ||||
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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.