Organization
SHANDS TEACHING HOSPITAL AND CLINICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D. HOLMES (CEO)
(352) 733-1500
Entity
Organization
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0111
(352) 627-9049
Mailing address
PO BOX 100303, GAINESVILLE, FL 32610-0172
(352) 627-9045
(352) 627-9049
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
4286
FL
282N00000X
General Acute Care Hospital
Primary
4286
FL
333600000X
Pharmacy
4286
FL
335U00000X
Organ Procurement Organization
4
FL
3416A0800X
Air Ambulance
—
—
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083921300
—
FL
01
—
CF9177
MEDICARE RAIL ROAD
FL
Enumeration date
09/21/2006
Last updated
12/31/2025
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