IM SULZBACHER CENTER FOR THE HOMELESS, INC - NPI 1396369187

Q: What is Im Sulzbacher Center For The Homeless, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

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About Im Sulzbacher Center For The Homeless, Inc NPPES

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

IM SULZBACHER CENTER FOR THE HOMELESS, INC (NPI 1396369187), doing business as Sulzbacher Village Pediatric Health, is a healthcare organization registered as a federally qualified health center (fqhc) in Jacksonville, Florida and active in the NPI registry since June 2020. The organization lists Cindy Funkhouser, Ceo, as its authorized official.

NPPES Registry Identity

NPI1396369187

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameIM SULZBACHER CENTER FOR THE HOMELESS, INC

Location Address5455 SPRINGFIELD BLVDJacksonville, FL 32208-5166

Mailing Address611 E Adams StJacksonville, FL 32202-2847 · (904) 394-5481

Phone(904) 394-4958

Organization SubpartNo

Authorized OfficialCindy FunkhouserCeo · (904) 394-4958

Enumeration DateJune 8, 2020

NPPES CertifiedJune 8, 2020

✔ NPI 1396369187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedPediatricsTaxonomy 208000000X

5455 SPRINGFIELD BLVD, Jacksonville, FL 32208

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Other Names 1

Doing Business AsSulzbacher Village Pediatric Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

CHILD GUIDANCE CENTER, INC.

Clinic/Center (Mental Health (Including Community Mental Health Center))

5455 SPRINGFIELD BLVD
JACKSONVILLE, FL 32208

Duval County (904) 448-4700

AISHA BA

Dentist (General Practice)

5455 SPRINGFIELD BLVD
JACKSONVILLE, FL 32208

Duval County (904) 394-4963

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 Im Sulzbacher Center For The Homeless, Inc's NPI number?

The NPI number for Im Sulzbacher Center For The Homeless, Inc is 1396369187. It was assigned to this organization in the NPPES registry on June 8, 2020. The provider is doing business as Sulzbacher Village Pediatric Health.

Where is Im Sulzbacher Center For The Homeless, Inc located?

Im Sulzbacher Center For The Homeless, Inc is located at 5455 Springfield Blvd, Jacksonville, FL 32208. The listed phone number is (904) 394-4958.

What is Im Sulzbacher Center For The Homeless, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Im Sulzbacher Center For The Homeless, Inc was last updated on June 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.