MEMORIAL URGENT CARE MANDARIN LLC
NPI 1033193743
Family Medicine in Jacksonville, FL
NPI Status: Active since December 06, 2005
Contact Information
11701 SAN JOSE BLVD
SUITE 110
JACKSONVILLE, FL
ZIP 32223
Phone: (904) 306-8060
Fax: (904) 306-8065
- Organization
- Family Medicine
- CLIA Number: 10D2120198
- CLIA Cert. Type: Other - FREE STANDING ER
- CLIA Exp. Date: 04-09-2026
About MEMORIAL URGENT CARE MANDARIN LLC
This page provides the complete NPI Profile along with additional information for Memorial Urgent Care Mandarin Llc, a primary care provider established in Jacksonville, Florida operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1033193743 assigned on December 2005. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. Memorial Urgent Care Mandarin Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Mickey Pickler (Vp)
- NPI
- 1033193743
- Provider Name
- MEMORIAL URGENT CARE MANDARIN LLC
- Entity Type
- Organization
- Location Address
- 11701 SAN JOSE BLVD SUITE 110 JACKSONVILLE, FL 32223
- Location Phone
- (904) 306-8060
- Location Fax
- (904) 306-8065
- Mailing Address
- 11701-32 SAN JOSE BLVD SUITE 110 JACKSONVILLE, FL 32223
- Mailing Phone
- (904) 996-7600
- Mailing Fax
- (904) 306-8065
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-06-2005
- Last Update Date
- 12-10-2007
- Code Navigator
A primary care provider (PCP) like Memorial Urgent Care Mandarin Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| K8653 | MEDICARE PIN (08) | ||
| DE3436 | MEDICARE PIN (08) |
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
- 10D2120198
- Facility Type
- Other - FREE STANDING ER
- Certificate Effective Date
- April 10, 2024
- Certificate Expiration Date
- April 09, 2026
- Laboratory Director
- DR. WILLIAM ENG
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Memorial Urgent Care Mandarin Llc 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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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 3 | 3 | 1 | 9 | 3 | 7 | 4 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 2 | 9 | 6 | 7 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 2 + 9 + 6 + 7 + 8 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1033193743 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1780618058 | DR. ALAN MICHAEL KRANTZ D.D.S. Individual | Dentist (General Practice) | 11701 SAN JOSE BLVD SUITE 215 JACKSONVILLE, FL 32223 (904) 880-3131 |
| 1154462448 | MRS. LORETTA N HURTAK PT Individual | Physical Therapist | 11701 SAN JOSE BLVD SUITE 210 JACKSONVILLE, FL 32223 (904) 858-7450 |
| 1821299900 | MRS. REBECCA SUSAN GARTNER O.T. Individual | Occupational Therapist | 11701 SAN JOSE BLVD SUITE 210 JACKSONVILLE, FL 32223 (904) 858-7450 |
| 1851583413 | JAN ELLEN KEPLER ARNP Individual | Advanced Practice Midwife | 11701 SAN JOSE BLVD SUITE 114 JACKSONVILLE, FL 32223 (904) 288-6910 |
| 1558541433 | JASON MEIER MD PA Organization | Clinic/Center (Medical Specialty) | 11701 SAN JOSE BLVD JACKSONVILLE, FL 32223 (708) 466-9450 |
| 1043493653 | FLORDELIZA L BENNETT Individual | Occupational Therapist | 11701 SAN JOSE BLVD SUITE 210 JACKSONVILLE, FL 32223 (904) 858-7450 |
| 1396979910 | BRYTTNEE ROBERTS JOSEPH M.H.S., OTR Individual | Occupational Therapist | 11701 SAN JOSE BLVD SUITE 210 JACKSONVILLE, FL 32223 (904) 858-7450 |
| 1306158498 | DR. ELIZABETH ROSE NORTHROP DPT Individual | Physical Therapist | 11701 SAN JOSE BLVD #210 JACKSONVILLE, FL 32223 (904) 858-7451 |
| 1518398445 | STEPHANIE AUBREY PT, DPT Individual | Physical Therapist | 11701 SAN JOSE BLVD #210 JACKSONVILLE, FL 32223 (904) 345-7450 |
| 1013349604 | KERRI COPELAND JARRELL ARPN Individual | Nurse Practitioner (Family) | 11701 SAN JOSE BLVD SUITE 103 JACKSONVILLE, FL 32223 (904) 262-9075 |
| 1932403953 | DR. GEOFFREY DANIEL WILLARD PT, DPT, NCS Individual | Physical Therapist | 11701 SAN JOSE BLVD SUITE 210 JACKSONVILLE, FL 32223 (904) 345-7450 |
| 1457884181 | MOLLY ZAGORIA OTD, OTR/L Individual | Occupational Therapist | 11701 SAN JOSE BLVD #210 JACKSONVILLE, FL 32223 (904) 345-7450 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033193743, enumerated in the NPI registry as an "organization" on December 06, 2005
The provider is located at 11701 San Jose Blvd Suite 110 Jacksonville, Fl 32223 and the phone number is (904) 306-8060
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 10D2120198 for a "other - free standing er" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued 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..
This NPI record was last updated on December 06, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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