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CONCENTRA MEDICAL CENTER-JAX NORTHSIDE
NPI 1629264288
Clinic/Center - Health Service in Jacksonville, FL

Active since September 18, 2007
1215 DUNN AVE, STE. 7, JACKSONVILLE, FL 32218(904) 757-5656(904) 757-5650 Get Directions Write a Review

NPPES record last updated: September 18, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Concentra Medical Center-jax Northside NPPES

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

CONCENTRA MEDICAL CENTER-JAX NORTHSIDE (NPI 1629264288) is a healthcare organization registered as a health service in Jacksonville, Florida and active in the NPI registry since September 2007. The organization lists Tom Fogarty, Evp, Cmo, as its authorized official.

NPPES Registry Identity

NPI1629264288
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameCONCENTRA MEDICAL CENTER-JAX NORTHSIDE
Location Address1215 DUNN AVE, STE. 7Jacksonville, FL 32218-6330
Mailing Address5080 Spectrum Dr, Ste. 1200 West TowerAddison, TX 75001-4648 · (800) 232-3550 · Fax (800) 401-6728
Phone(904) 757-5656
Fax(904) 757-5650
Organization SubpartNo
Authorized OfficialTom FogartyEvp, Cmo · (800) 232-3550
Enumeration DateSeptember 18, 2007
✔ NPI 1629264288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
1215 DUNN AVE, Jacksonville, FL 32218
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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.

TOTAL RENAL CARE, INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1215 DUNN AVE, STE 8
JACKSONVILLE, FL 32218
Duval County (904) 757-3540
NATOSHA NICOLE JACKSON ARNP
Nurse Practitioner (Family)
1215 DUNN AVE, SUITE 3
JACKSONVILLE, FL 32218
Duval County (904) 757-1998
TUN TUN AUNG MD
Family Medicine
1215 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 757-1998
FAMILY CARE PARTNERS OF NORTHEAST FLORIDA LLC
Family Medicine
1215 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 757-1998
DR. ANTHONY VAZ M.D.
Specialist
1215 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 757-1998
RENE MINNAAR FNP
Nurse Practitioner (Family)
1215 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 757-1998
MEREDITH LINDSEY WELLS PTA
Physical Therapy Assistant
1215 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 751-2000
DR. RALPH M. BOONE D.O.
Family Medicine (Adult Medicine)
1215 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 757-1998

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 Concentra Medical Center-Jax Northside's NPI number?

The NPI number for Concentra Medical Center-Jax Northside is 1629264288. It was assigned to this organization in the NPPES registry on September 18, 2007.

Where is Concentra Medical Center-Jax Northside located?

Concentra Medical Center-Jax Northside is located at 1215 Dunn Ave Ste. 7, Jacksonville, FL 32218. The listed phone number is (904) 757-5656.

What is Concentra Medical Center-Jax Northside's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Concentra Medical Center-Jax Northside was last updated on September 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.