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Concentra Medical Center-Jax Northside

Health Service Clinic/Center in Jacksonville, FL · enumerated 2007 · authorized official Tom Fogarty, Evp, Cmo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629264288

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Registry record

Entity type Organization (Type 2)
Legal business name Concentra Medical Center-Jax Northside
Practice address 1215 Dunn Ave, Ste. 7, Jacksonville, FL, 32218
Fax (904) 757-5650
Enumeration date Sep 18, 2007
Last updated in NPPES Sep 18, 2007

Taxonomy & classification

261QH0100X Health Service Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Tom Fogarty
Title Evp, Cmo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Concentra Medical Center-Jax Northside?
The NPI for Concentra Medical Center-Jax Northside is 1629264288, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Concentra Medical Center-Jax Northside?
NPPES lists Tom Fogarty (Evp, Cmo) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-09-18.