# ST. VINCENT'S FIRST CARE-ORTEGA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST. VINCENT'S FIRST CARE, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386077006
- **Legal business name:** ST. VINCENT'S FIRST CARE, LLC
- **Authorized official:** MR. MARK REDDINGER (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (904) 379-1203

## Contact information

- **Practice address:** 5501 ROOSEVELT BLVD, JACKSONVILLE, FL 32244-2345
- **Practice address phone:** (904) 450-8100
- **Practice address fax:** (904) 981-0051
- **Mailing address:** PO BOX 551281, JACKSONVILLE, FL 32255-1281
- **Mailing address phone:** (904) 450-8100
- **Mailing address fax:** (904) 981-0051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/16/2013
- **Last updated:** 08/16/2013