Organization
MEMORIAL HEALTHCARE GROUP INC
Active
Other names
HCA Florida Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DREW HARTMANN (CFO)
(904) 399-6111
Entity
Organization
Contact information
Practice address
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4207
(904) 399-6111
(904) 399-6849
Mailing address
PO BOX 16325, JACKSONVILLE, FL 32245-6325
(904) 399-6111
(904) 399-6849
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000490542X
—
GA
05
—
01608548
—
NY
01
—
044013
AVMED
FL
05
—
1009826
—
MA
05
—
10193100
—
FL
05
—
10408B
—
SC
01
—
107927
AMERIGROUP
FL
05
—
108705801
—
TX
01
—
130
BLUE CROSS/HOPT
FL
05
—
130141105
—
AR
Enumeration date
05/25/2006
Last updated
11/07/2025
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