Provider Demographics
NPI:1083644348
Name:UMC WEKIVA SPRINGS
Entity Type:Organization
Organization Name:UMC WEKIVA SPRINGS
Other - Org Name:WEKIVA SPRINGS CENTER FOR WOMEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FEHR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-876-2200
Mailing Address - Street 1:3947 SALISBURY RD NORTH
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216
Mailing Address - Country:US
Mailing Address - Phone:904-296-3533
Mailing Address - Fax:904-296-3536
Practice Address - Street 1:3947 SALISBURY RD NORTH
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216
Practice Address - Country:US
Practice Address - Phone:904-296-3533
Practice Address - Fax:904-296-3536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4482283Q00000X
FL0416AD897801324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered283Q00000XHospitalsPsychiatric Hospital
Not Answered324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL104069Medicare ID - Type Unspecified