Shands At Lake Shore Inc in Lake City - Clinic/center
Shands At Lake Shore Inc - NPI 1871692475
Shands At Lake Shore Inc is a Clinic/center in Lake City, Florida. Shands At Lake Shore Inc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Shands At Lake Shore Inc is 1871692475. The last update date is 2008-05-07.
Shands At Lake Shore Inc's current location address is 755 Sw State Road 47, Lake City, Florida. You can contact this provider via phone number 3867557788 and fax number 3527330069. The mailing address for Shands At Lake Shore Inc is 755 Sw State Road 47, Lake City, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shands At Lake Shore Inc |
|---|---|
| Address | 755 Sw State Road 47, Lake City, Florida |
| Phone Number | 3867557788 |
| Fax Number | 3527330069 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR. VICE P |
|---|---|
| Authorized Official Name | Mansfield Jodi |
| Telephone Number | 3522650440 |
NPI Number Detail
| NPI Number | 1871692475 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2008-05-07 |
Provider Mailing Address Detail
| Address | 755 Sw State Road 47 |
|---|---|
| City | Lake City |
| State | Florida (FL) |
| Post Code | 320250453 |
| Phone Number | 3867557788 |
| Fax Number | 3527330069 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CK8077 | FL | MEDICARE RR | |
| 264258101 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Shands At Lake Shore Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Shands At Lake Shore Inc has been assigned the NPI (National Provider Identifier) 1871692475. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Shands At Lake Shore Inc?
The Shands At Lake Shore Inc is physically situated at 755 Sw State Road 47, in the city of Lake City, state of FL, with the postal code 320250453.
What is Shands At Lake Shore Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shands At Lake Shore Inc is Clinic/center, and the taxonomy code that classifies this field of practice is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1871692475 to Shands At Lake Shore Inc?
The Centers for Medicare & Medicaid Services originally issued the 1871692475 to Shands At Lake Shore Inc on 2006-09-21.
When was the information related to Shands At Lake Shore Inc most recently updated or refreshed?
The details pertaining to the Shands At Lake Shore Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-07.
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