Organization
ST LUKES - ST VINCENTS HEALTHCARE
Active
Organization
ST LUKES - ST VINCENTS HEALTHCARE
Active
Other names
Ascension Rx 1403
Organization subpart
No
Provider details
NPI number
Authorized official
COBA SUSAN CORNEJO (CHIEF OPERATING OFFICER)
(803) 463-5837
Entity
Organization
Contact information
Practice address
1 SHIRCLIFF WAY, STE 1734, JACKSONVILLE, FL 32204
(904) 308-7515
(904) 308-7514
Mailing address
1 SHIRCLIFF WAY, STE 1734, JACKSONVILLE, FL 32204
(904) 308-7515
(904) 308-7514
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022451100
—
FL
05
—
22451101
—
FL
Enumeration date
10/03/2006
Last updated
09/02/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up