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

NPI Status: Active since January 31, 2022

Contact Information

425 N LEE ST STE 101
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 450-8762

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 10D0645096
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 04-27-2027

About ASCENSION ST VINCENT'S MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Ascension St Vincent's Medical Group, a provider established in Jacksonville, Florida operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1679226690 assigned on January 2022. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Ascension St Vincent's Medical Group. The authorized official of this NPI record is Miranda Hemm (Enrollment Manager)

NPI
1679226690
Provider Legal Name
ST VINCENTS AMBULATORY CARE INC
Other Organization Name
ASCENSION ST VINCENT'S MEDICAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
425 N LEE ST STE 101 JACKSONVILLE, FL 32204
Location Phone
(904) 450-8762
Mailing Address
4500 SAILSBURY RD STE 210 JACKSONVILLE, FL 32216
Mailing Phone
(904) 308-6169
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-31-2022
Last Update Date
10-17-2022
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
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.

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.

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

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
276587086MEDICAID (05)FL 

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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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.
1679226690
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261494212618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 4 + 2 + 1 + 2 + 6 + 1 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1679226690 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679226690, enumerated in the NPI registry 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

This medical organization specializes in 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 make sure your health plan is currently accepted.

The provider's CLIA number is 10D0645096 for a "hospital" 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 January 31, 2022. 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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