Organization
SHANDS TEACHING HOSPITAL AND CLINICS INC
Active
Parent organization
SHANDS TEACHING HOSPITAL AND CLINICS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHANDS TEACHING HOSPITAL AND CLINICS INC
Authorized official
MR. MICHAEL D. HOLMES (CEO)
(352) 733-1500
Entity
Organization
Contact information
Practice address
922 E CALL ST, STARKE, FL 32091-3616
(907) 368-2000
(352) 733-0069
Mailing address
PO BOX 100303, GAINESVILLE, FL 32610-0303
(352) 627-9045
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
4267
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053365300
—
FL
01
—
CF9177
MEDICARE RAIL ROAD
FL
Enumeration date
10/05/2006
Last updated
12/31/2025
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