MEDICARE: COMMUNITY HEALTH NAVIGATOR INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251K00000X	Public Health or Welfare Agency
3	251V00000X	Voluntary or Charitable Agency
4	343800000X	Secured Medical Transport (VAN)
5	347C00000X	Private Vehicle
6	347E00000X	Transportation Broker
7	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1073096137
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY HEALTH NAVIGATOR INC.

Provider Business Mailing Address
First Line	:	2815 MELSON AVE
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32254-1853
Country	:	US
Telephone Number	:	904-355-6864
Fax Number	:

Provider Business Practice Location Address
First Line	:	2815 MELSON AVE
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32254-1853
Country	:	US
Telephone Number	:	904-570-9418
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	THERESA COUNCIL
Credential	:
Telephone Number	:	904-355-6864

Provider Enumeration Date	:	09/13/2018
Last Update Date	:	05/22/2019

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