SHANDS JACKSONVILLE MEDICAL CENTER INC
NPI 1144962408
Clinic/Center - Urgent Care in Jacksonville, FL
NPI Status: Active since April 08, 2022
Contact Information
655 W 8TH ST
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 244-4894
- Organization
- Clinic/Center
- Urgent Care
- Accepts Insurance
- CLIA Number: 10D2278661
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 07-30-2025
About SHANDS JACKSONVILLE MEDICAL CENTER INC
This page provides the complete NPI Profile along with additional information for Shands Jacksonville Medical Center Inc, a provider established in Jacksonville, Florida operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1144962408 assigned on April 2022. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Dean Cocchi (Vice President Of Finance)
- NPI
- 1144962408
- Provider Name
- SHANDS JACKSONVILLE MEDICAL CENTER INC
- Entity Type
- Organization
- Location Address
- 655 W 8TH ST JACKSONVILLE, FL 32209
- Location Phone
- (904) 244-4894
- Mailing Address
- 655 W 8TH ST JACKSONVILLE, FL 32209
- Mailing Phone
- (904) 244-1888
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-08-2022
- Last Update Date
- 04-08-2022
- Code Navigator
Location Map
Secondary Locations
- 888 Lane Ave S
Jacksonville, FL 32205
(904) 244-4894 - 11277 NEW KINGS ROAD
JACKSONVILLE, FL 32219
(904) 244-4894 - 11251 Lamb Tail Lane
jacksonville, FL 32256
(904) 244-4894
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Urgent Care
- Taxonomy Code
- 261QU0200X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear VALUE Silver - HMO
- Complete VALUE Gold - HMO
- Focused VALUE Silver - HMO
- Focused VALUE Silver + Vision + Adult Dental - HMO
- Standard Gold VALUE - HMO
- Standard Silver VALUE - HMO
- Standard Silver VALUE + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete VALUE Gold - HMO
- Complete VALUE Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Elite VALUE Bronze - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Silver 9 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2278661
- Facility Type
- Hospital
- Certificate Effective Date
- July 31, 2023
- Certificate Expiration Date
- July 30, 2025
- Laboratory Director
- ALIAKSANDR OBUKHAU
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Shands Jacksonville Medical Center Inc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 4 | 4 | 9 | 6 | 2 | 4 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 8 | 4 | 18 | 6 | 4 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 8 + 4 + 1 + 8 + 6 + 4 + 4 + 0 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1144962408 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. GHAITH MITRI M.D.
Internal Medicine
(Rheumatology)
655 W 8TH ST
UFJP RHEUMATOLOGY DEPT.
JACKSONVILLE, FL
ZIP 32209
DR. ALEXANDER SCOTT BERK M.D.
Emergency Medicine
655 W 8TH ST
UFJP EMERGENCY MEDICINE
JACKSONVILLE, FL
ZIP 32209
DR. KARL H.S. SMITH M.D.
Obstetrics & Gynecology
(Gynecologic Oncology)
655 W 8TH ST
UNIVERSITY OF FLORIDA CENTER FOR WOMEN
JACKSONVILLE, FL
ZIP 32209
DR. WOLF HEINRICH STAPELFELDT M.D.
Anesthesiology
655 W 8TH ST
UFJP ANESTHESIA DEPT.
JACKSONVILLE, FL
ZIP 32209
KATHLEEN KOPACH M.D.
Orthopaedic Surgery
655 W 8TH ST
UFJP ORTHOPEDICS
JACKSONVILLE, FL
ZIP 32209
JAIME R CALZADA M.D.
Anesthesiology
655 W 8TH ST
UFJP ANESTHESIA
JACKSONVILLE, FL
ZIP 32209
DR. HOLLIE JO HICKMAN D.O.
Surgery
655 W 8TH ST
JACKSONVILLE, FL
ZIP 32209
DR. GEORGE RICE WILSON III MD
Family Medicine
655 W 8TH ST
UFJP CHFM - 4TH FLOOR ACC
JACKSONVILLE, FL
ZIP 32209
DR. DIANA L EDGAR M.D.
Radiology
(Diagnostic Radiology)
655 W 8TH ST
UFJP RADIOLOGY DEPT.
JACKSONVILLE, FL
ZIP 32209
DR. STEPHANIE W. MCCORMICK PHARM.D.
Pharmacist
(Pharmacotherapy)
655 W 8TH ST
JACKSONVILLE, FL
ZIP 32209
PAMELA DEE WASCHKAT CRNA
Nurse Anesthetist, Certified Registered
655 W 8TH ST
UFJAX - ANESTHESIOLOGY DEPT
JACKSONVILLE, FL
ZIP 32209
DR. RONALD M RHATIGAN MD
Pathology
(Anatomic Pathology & Clinical Pathology)
655 W 8TH ST
UFJP PATHOLOGY
JACKSONVILLE, FL
ZIP 32209
DR. DAVID ALAN CARO M.D.
Emergency Medicine
655 W 8TH ST
UFJP EMERGENCY MEDICINE
JACKSONVILLE, FL
ZIP 32209
DR. STEVEN ANDREWS GODWIN M.D.
Emergency Medicine
655 W 8TH ST
UFJP EMERGENCY MEDICINE
JACKSONVILLE, FL
ZIP 32209
KUO YUN CHEN MD
Pediatrics
655 W 8TH ST
UFJP PEDIATRIC DEPT.
JACKSONVILLE, FL
ZIP 32209
DR. JOSEPH L SINDONE D.P.M.
Podiatrist
(Foot & Ankle Surgery)
655 W 8TH ST
JACKSONVILLE, FL
ZIP 32209
DR. KELLY RAE GRAY-EUROM M.D.
Emergency Medicine
655 W 8TH ST
UFJP EMERGENCY MEDICINE
JACKSONVILLE, FL
ZIP 32209
DR. THOMAS KERRY MORRISSEY M.D.
Emergency Medicine
655 W 8TH ST
UFJP EMERGENCY MEDICINE
JACKSONVILLE, FL
ZIP 32209
DR. LEONARDO SALVATORE NASCA JR. M.D.
Emergency Medicine
655 W 8TH ST
UFJP EMERGENCY MEDICINE
JACKSONVILLE, FL
ZIP 32209
DR. ROBERT CORNELIUS LUTEN M.D.
Emergency Medicine
655 W 8TH ST
UFJP EMERGENCY MEDICINE
JACKSONVILLE, FL
ZIP 32209
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144962408, enumerated as an "organization" on April 08, 2022.
The provider is located at 655 W 8TH ST JACKSONVILLE, FL 32209 and the phone number is (904) 244-4894.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.
