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Organization
BAPTIST MEDICAL CENTER OF NASSAU INC
Active
Organization
BAPTIST MEDICAL CENTER OF NASSAU INC
Active
Other names
Baptist Medical Center Nassau
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP BOYCE (CHIEF REVENUE OFFICER)
(904) 376-3760
Entity
Organization
Contact information
Practice address
1250 S 18TH ST, FERNANDINA BEACH, FL 32034-1902
(904) 376-4182
(904) 376-4280
Mailing address
PO BOX 44114, JACKSONVILLE, FL 32231-4114
(904) 376-4182
(904) 376-4280
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4355
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00163336A
MEDICAID OF GA PROVIDER N
GA
05
—
010123100
—
FL
01
—
115
BLUE CROSS OF FL PROVIDER
FL
Enumeration date
01/02/2007
Last updated
06/02/2022
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