ASCENSION ST VINCENT'S MEDICAL GROUP
NPI 1679226690
Durable Medical Equipment & Medical Supplies in Jacksonville, FL

Active since January 31, 2022CLIA 10D0645096 · Accreditation
425 N LEE ST STE 101, JACKSONVILLE, FL 32204(904) 450-8762 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 17, 2022, Jan 31, 2022 (2 updates tracked since 2022).

About Ascension St Vincent's Medical Group NPPES

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

ASCENSION ST VINCENT'S MEDICAL GROUP (NPI 1679226690) is a healthcare organization registered as a durable medical equipment & medical supplies in Jacksonville, Florida and active in the NPI registry since January 2022. The organization holds an CLIA Accreditation certificate valid through April 27, 2027 and lists Miranda Hemm, Enrollment Manager, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1679226690
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameST VINCENTS AMBULATORY CARE INC
Location Address425 N LEE ST STE 101Jacksonville, FL 32204-1128
Mailing Address4500 Sailsbury Rd Ste 210Jacksonville, FL 32216 · (904) 308-6169 · Fax (904) 308-4085
Organization SubpartYes
Authorized OfficialMiranda HemmEnrollment Manager · (904) 450-6004
Enumeration DateJanuary 31, 2022
Last NPPES UpdateOctober 17, 20222 updates tracked since enumeration
NPPES CertifiedOctober 17, 2022
NPI 1679226690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

425 N LEE ST STE 101, Jacksonville, FL 32204

Other Names 1

Doing Business AsAscension St Vincent's Medical Group

Other Identifiers 1

Medicaid276587086FL

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
10D0645096
Facility Type
Hospital
Certificate Effective Date
April 28, 2025
Certificate Expiration Date
April 27, 2027
Laboratory Director
DR. ARTHUR JONES
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Ascension St Vincent's Medical Group on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679226690, enumerated as an "organization" on January 31, 2022.

The provider is located at 425 N LEE ST STE 101 JACKSONVILLE, FL 32204 and the phone number is (904) 450-8762.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.