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NPI Code Detail

MEDICARE: SHANDS TEACHING HOSPITAL AND CLINICS INC

MEDICARE: SHANDS TEACHING HOSPITAL AND CLINICS INC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
13416L0300XLand Ambulance
23416A0800XAir Ambulance
3261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center4286FL
4333600000XPharmacy4286FL
5335U00000XOrgan Procurement Organization4FL
6282N00000XGeneral Acute Care Hospital4286FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CF9177OTHERFLMEDICARE RAIL ROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699874248
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHANDS TEACHING HOSPITAL AND CLINICS INC
Provider Business Mailing Address
First Line : PO BOX 100303
Second Line :
City : GAINESVILLE
State : FL
Zip : 32610-0172
Country : US
Telephone Number : 352-627-9045
Fax Number : 352-627-9049
Provider Business Practice Location Address
First Line : 1600 SW ARCHER RD
Second Line :
City : GAINESVILLE
State : FL
Zip : 32610-3003
Country : US
Telephone Number : 352-265-0111
Fax Number : 352-627-9049
Authorized Official
Title or Position : CEO
Name : MR. MICHAEL D. HOLMES
Credential :
Telephone Number : 352-733-1500
Provider Enumeration Date : 09/21/2006
Last Update Date : 12/31/2025

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