| Shands Teaching Hospital And Clinics, Inc. | |
|
4101 Nw 89th Blvd Gainesville FL 32606-3813 | |
| (352) 265-5497 | |
| (352) 338-7190 |
| Full Name | Shands Teaching Hospital And Clinics, Inc. |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 4101 Nw 89th Blvd, Gainesville, Florida |
| Authorized Official Name and Position | James Kelly (CEO) |
| Authorized Official Contact | 3527331500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shands Teaching Hospital And Clinics, Inc. Po Box 100345 Gainesville FL 32610-0345 Ph: (352) 627-9045 | Shands Teaching Hospital And Clinics, Inc. 4101 Nw 89th Blvd Gainesville FL 32606-3813 Ph: (352) 265-5497 |
| NPI Number | 1275632846 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 11/22/2022 |
| Certification Date | 11/22/2022 |
| Medicare PECOS PAC ID | 2163336504 |
|---|---|
| Medicare Enrollment ID | O20080630000132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275632846 | NPI | - | NPPES |
| 010003000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 4286 (Florida) | Primary |
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