| Baptist Health Clinic Inc | |
|
3563 Phillips Hwy Suite 101 Jacksonville FL 32207-5663 | |
| (904) 376-4055 | |
| (904) 376-3746 |
| Full Name | Baptist Health Clinic Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3563 Phillips Hwy, Jacksonville, Florida |
| Authorized Official Name and Position | Marsha Donaldson (VICE-PRESIDENT) |
| Authorized Official Contact | 9043763744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Health Clinic Inc Po Box 40715 Jacksonville FL 32203-0715 Ph: (904) 202-1032 | Baptist Health Clinic Inc 3563 Phillips Hwy Suite 101 Jacksonville FL 32207-5663 Ph: (904) 376-4055 |
| NPI Number | 1184161929 |
|---|---|
| Provider Enumeration Date | 01/31/2017 |
| Last Update Date | 08/08/2019 |
| Medicare PECOS PAC ID | 5092801647 |
|---|---|
| Medicare Enrollment ID | O20171106002574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184161929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Florida) | Primary |
| Provider Name | Lyndsay N Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518074525 PECOS PAC ID: 3779684816 Enrollment ID: I20070719000544 |
| Provider Name | Faith A Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013287762 PECOS PAC ID: 9234398272 Enrollment ID: I20120309000426 |
| Provider Name | Marvette S Tookes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275972077 PECOS PAC ID: 8628219912 Enrollment ID: I20130730000113 |
| Provider Name | Ana V Greenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205207420 PECOS PAC ID: 8527361542 Enrollment ID: I20160126001492 |
| Provider Name | Sandra L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356342984 PECOS PAC ID: 7012951734 Enrollment ID: I20180906000805 |
| Provider Name | Megan Anne Wollitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639655897 PECOS PAC ID: 7416207527 Enrollment ID: I20180911003817 |
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