ST VINCENT'S FULL SERVICE URGENT CARE, LLC
NPI 1346057718
Clinic/Center - Urgent Care in Jacksonville, FL

NPI Status: Active since December 18, 2024

Contact Information

10058 BAYMEADOWS RD
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 450-8020
Fax: (904) 450-8004

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 10D2158322
  • CLIA Cert. Type: Other - URGENT CARE CENTER
  • CLIA Exp. Date: 11-26-2026

About ST VINCENT'S FULL SERVICE URGENT CARE, LLC

This page provides the complete NPI Profile along with additional information for St Vincent's Full Service Urgent Care, Llc, 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 1346057718 assigned on December 2024. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Miranda Hemm (Enrollment Manager)

NPI
1346057718
Provider Name
ST VINCENT'S FULL SERVICE URGENT CARE, LLC
Entity Type
Organization
Location Address
10058 BAYMEADOWS RD JACKSONVILLE, FL 32256
Location Phone
(904) 450-8020
Location Fax
(904) 450-8004
Mailing Address
4205 BELFORT RD STE 4015 JACKSONVILLE, FL 32216
Mailing Phone
(904) 450-6004
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-18-2024
Last Update Date
12-18-2024
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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

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MIRANDA HEMM

Authorized Official Title
ENROLLMENT MANAGER
Authorized Official Phone
(904) 450-6004

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
10D2158322
Facility Type
Other - URGENT CARE CENTER
Certificate Effective Date
November 27, 2024
Certificate Expiration Date
November 26, 2026
Laboratory Director
MARIA PEREZ-GARCIA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St Vincent's Full Service Urgent Care, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1346057718, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
4
Doubled → 8
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 0 → 0 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 8 + 6 + 0 + 5 + 1 + 4 + 7 + 2 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1346057718.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Family Medicine
10058 BAYMEADOWS RD
JACKSONVILLE, FL 32256
Clinical Nurse Specialist (Adult Health)
10058 BAYMEADOWS RD
JACKSONVILLE, FL 32256
Physician Assistant
10058 BAYMEADOWS RD
JACKSONVILLE, FL 32256
Family Medicine
10058 BAYMEADOWS RD
JACKSONVILLE, FL 32256
Physician Assistant (Medical)
10058 BAYMEADOWS RD
JACKSONVILLE, FL 32256
Internal Medicine
10058 BAYMEADOWS RD
JACKSONVILLE, FL 32256
Social Worker (Clinical)
10058 BAYMEADOWS RD
JACKSONVILLE, FL 32256
Nurse Practitioner (Family)
10058 BAYMEADOWS RD
JACKSONVILLE, FL 32256
Family Medicine
10058 BAYMEADOWS RD
JACKSONVILLE, FL 32256

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346057718, enumerated as an "organization" on December 18, 2024.

The provider is located at 10058 BAYMEADOWS RD JACKSONVILLE, FL 32256 and the phone number is (904) 450-8020.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.