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General NPI Number Information
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NPI Number | 1336093525
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Entity Type | Organization
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Legal Business Name | JACKSONVILLE ER & HOSPITAL LLC
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 12625 BEACH BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32246
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Country | US
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Telephone | 713-660-0557
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Fax |
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Provider Business Mailing Address
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Address Line | 6030 S RICE AVE STE C
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City | HOUSTON
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State | TX
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Zip | 77081-2944
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Country | US
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Telephone | 713-660-0557
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF REVENUE CYCLE
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Name | KEELYN MARLATT
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Credential |
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Telephone | 713-660-0557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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