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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