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
- 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
- Code Navigator
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
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.
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 |
---|---|---|---|
276587086 | MEDICAID (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.
Reviews for ASCENSION ST VINCENT'S MEDICAL GROUP
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 6 | 7 | 9 | 2 | 2 | 6 | 6 | 9 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 14 | 9 | 4 | 2 | 12 | 6 | 18 | |
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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.