Organization
CAN COMMUNITY HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RISHI B PATEL (PRESIDENT & CEO)
(941) 300-4440
Entity
Organization
Contact information
Practice address
4615 PHILIPS HWY STE 3, JACKSONVILLE, FL 32207-9541
(904) 508-0710
(855) 299-0710
Mailing address
PO BOX 1000 DEPT 394, MEMPHIS, TN 38148-1926
(941) 300-4440
(941) 404-1760
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057256020
—
FL
01
—
21725
FL BCBS GROUP #
—
Enumeration date
06/06/2021
Last updated
01/30/2024
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