Organization
PHOENIX CM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLA B RUSSELL (EXECUTIVE DIRECTOR)
(904) 377-6735
Entity
Organization
Contact information
Practice address
1225 W BEAVER ST STE 101, JACKSONVILLE, FL 32204-1415
(904) 377-6735
Mailing address
52 TUSCAN WAY STE 202-142, STE. 202-142, SAINT AUGUSTINE, FL 32092-1850
(904) 377-6735
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006238200
—
FL
Enumeration date
11/20/2014
Last updated
11/20/2014
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