Organization
IM SULZBACHER CENTER FOR THE HOMELESS INC
Active
Parent organization
IM SULZBACHER CENTER FOR THE HOMELESS INC
Other names
Beaches Community Healthcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
IM SULZBACHER CENTER FOR THE HOMELESS INC
Authorized official
MRS. KATHLEEN PATNEAU (HEALTH SERVICES ADMINISTRATOR)
(904) 394-8056
Entity
Organization
Contact information
Practice address
850 6TH AVE S STE 500, JACKSONVILLE BEACH, FL 32250-4200
(904) 224-3550
Mailing address
611 E ADAMS ST, JACKSONVILLE, FL 32202-2847
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
686032002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
686032002
—
FL
Enumeration date
03/08/2012
Last updated
11/19/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us