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HCA FLORIDA MEMORIAL HOSPITAL
NPI 1174560254
General Acute Care Hospital in Jacksonville, FL

Active since May 31, 2006CLIA Certified · 3 labs
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216(904) 399-6111(904) 399-6849 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hca Florida Memorial Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HCA FLORIDA MEMORIAL HOSPITAL (NPI 1174560254) is a healthcare organization registered as a general acute care hospital in Jacksonville, Florida and active in the NPI registry since May 2006. The organization holds 3 active CLIA laboratory certificates and lists Kevin Mckeown, Cfo, as its authorized official.

NPPES Registry Identity

NPI1174560254
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameMEMORIAL HEALTHCARE GROUP INC
Location Address3625 UNIVERSITY BLVD SJacksonville, FL 32216-4207
Mailing AddressPo Box 16325Jacksonville, FL 32245-6325 · (904) 399-6111 · Fax (904) 399-6849
Phone(904) 399-6111
Fax(904) 399-6849
Organization SubpartNo
Authorized OfficialKevin MckeownCfo · (904) 702-6573
Enumeration DateMay 31, 2006
Last NPPES UpdateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
✔ NPI 1174560254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
Definition
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.
3625 UNIVERSITY BLVD S, Jacksonville, FL 32216
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Other Names 1

Doing Business AsHca Florida Memorial Hospital

Other Identifiers 1

Medicaid1211862MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1037726

Hca Florida Memorial Hospital · Jacksonville, FL
Active · expires Mar 1, 2027
CLIA Number10D1037726
Laboratory TypeHospital
Certificate Effective DateMarch 2, 2025
Certificate Expiration DateMarch 1, 2027
Laboratory DirectorDavid L. Threatt
Laboratory Phone(904) 391-1384
Laboratory LocationHca Florida Memorial Hospital3625 University Blvd S, Jacksonville, FL 32216
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 10D0665352

Hca Florida Memorial Hospital · Jacksonville, FL
Active · expires Feb 27, 2027
CLIA Number10D0665352
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Silvia Depaz
Laboratory Phone(904) 702-6917
Laboratory LocationHca Florida Memorial Hospital3625 University Blvd South Attn Robert E Barnes, Laboratory Director, Jacksonville, FL 32216
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 10D2127460

Hca Florida Memorial Hospital Imaging Center · Jacksonville, FL
Active · expires Mar 13, 2027
CLIA Number10D2127460
Laboratory TypeHospital
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorDavid Threatt
Laboratory Phone(904) 702-1352
Laboratory LocationHca Florida Memorial Hospital Imaging Center3901 University Blvd S Ste 112, Jacksonville, FL 32216
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSAY MICHELLE PUTKOWSKI CRNA
Nurse Anesthetist, Certified Registered
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 702-6111
KENNETH AUNG-DIN MD
Emergency Medicine
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 399-6811
MRS. GLORIANNE BOYD RD,LD/N
Dietitian, Registered
3625 UNIVERSITY BLVD S, BARIATRIC DEPARTMENT
JACKSONVILLE, FL 32216
Duval County (904) 399-6313
PETER LOUIS KOVACS MD
Anesthesiology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 421-2119
NAKISH DANIELLE GRANT M.D.
General Practice
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 702-6111
SUMMIT EMERGENCY PHYSICIANS, LLC
Emergency Medicine
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (469) 401-2386
KELLY MICHELLE DEWIT PHARMD
Pharmacist
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 702-6160
DR. JUDY BOWERS M.D.
Obstetrics & Gynecology
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 702-6850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Memorial Healthcare Group Inc's NPI number?

The NPI number for Memorial Healthcare Group Inc is 1174560254. It was assigned to this organization in the NPPES registry on May 31, 2006. The provider is doing business as Hca Florida Memorial Hospital.

Where is Memorial Healthcare Group Inc located?

Memorial Healthcare Group Inc is located at 3625 University Blvd S, Jacksonville, FL 32216. The listed phone number is (904) 399-6111.

What is Memorial Healthcare Group Inc's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Memorial Healthcare Group Inc hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Memorial Healthcare Group Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Memorial Healthcare Group Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Memorial Healthcare Group Inc was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.