# ST VINCENTS AMBULATORY CARE INC

> 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 VINCENTS AMBULATORY CARE INC
- **Other names:** Ascension St Vincent's Medical Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679226690
- **Legal business name:** ST VINCENTS AMBULATORY CARE INC
- **Authorized official:** MIRANDA HEMM (ENROLLMENT MANAGER)
- **Authorized official phone:** (904) 450-6004

## Contact information

- **Practice address:** 425 N LEE ST STE 101, JACKSONVILLE, FL 32204-1128
- **Practice address phone:** (904) 450-8762
- **Mailing address:** 4500 SAILSBURY RD STE 210, JACKSONVILLE, FL 32216
- **Mailing address phone:** (904) 308-6169
- **Mailing address fax:** (904) 308-4085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 01/31/2022
- **Last updated:** 10/17/2022