Specialty Hospital Jacksonville

LBN: Memorial Healthcare Group, Inc.
Specialty Hospital Jacksonville is an health care organization with primary practice located at 4901 Richard St , Jacksonville FL 32207-7328. The organization recently has only one registered license in Hospitals / Long Term Care Hospital, which is considered as the primary health care specialty. Memorial Healthcare Group, Inc. can be contacted via phone (904) 737-3120, or through Wilcox, Billy via phone (904) 730-5756.

Contact Information

Primary practice address
4901 Richard St Jacksonville FL 32207-7328
Phone: (904) 737-3120
Fax: (904) 730-5991
Website:
Map and Directions
Authorized official contact:
Name: Wilcox, Billy
Phone: (904) 730-5756

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Long Term Care Hospital 282E00000X

Profile Details

NPI number 1851348429
LBN Legal business name Memorial Healthcare Group, Inc.
DBA Doing business as Specialty Hospital Jacksonville
Authorized official Wilcox, Billy
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2006
Last updated Mar 30th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851348429 NPPES
Florida Other 044069 AVMED
Florida MEDICAID 10647000 AVMED
Florida Other Y34 AVMED
Florida MEDICAID 00404233 AVMED
Florida MEDICAID 000152996X AVMED

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