Provider Demographics
NPI:1376862086
Name:ACUTE CARE HOSPITALISTS LLC
Entity Type:Organization
Organization Name:ACUTE CARE HOSPITALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:C
Authorized Official - Last Name:LU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-221-2535
Mailing Address - Street 1:PO BOX 54369
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32245-4369
Mailing Address - Country:US
Mailing Address - Phone:904-398-9334
Mailing Address - Fax:904-398-9336
Practice Address - Street 1:3627 UNIVERSITY BLVD S
Practice Address - Street 2:SUITE 500
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-4230
Practice Address - Country:US
Practice Address - Phone:904-398-9334
Practice Address - Fax:904-398-9336
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JACKSONVILLE INFECTIOUS DISEASES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-05-19
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88878174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty