Organization · Type 2 NPI

Im Sulzbacher Center for the Homeless Inc

Federally Qualified Health Center (FQHC) · Jacksonville Beach, FL

NPI number 1326312315 Active

Practice location

850 6th Ave S Ste 500
Jacksonville Beach, FL 32250-4200

Call (904) 224-3550 Map

Mailing address

611 E Adams St
Jacksonville, FL 32202-2847

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	686032002 (FL)

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Shakela Martin, DMDDentist Jacksonville Beach, FL NPI 1639582943

NPI record

NPI: 1326312315
Entity type: Organization (Type 2)
Issued: Mar 8, 2012
Last updated: Nov 19, 2012
Status: Active
Subpart: Yes of Im Sulzbacher Center for the Homeless Inc

Other names

<unavail>
Beaches Community Healthcare · doing business as

Authorized official

Mrs. Kathleen Patneau
Health Services Administrator
(904) 394-8056

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1326312315

Im Sulzbacher Center for the Homeless Inc's National Provider Identifier is 1326312315, issued on Mar 8, 2012. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Jacksonville Beach, FL. The record was last updated on Nov 19, 2012.