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904 Health, Inc

Primary Care Clinic/Center in Yulee, FL · enumerated 2022 · authorized official Wendy Kelly, Office Administrator.

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

National Provider Identifier

1699487678

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Registry record

Entity type Organization (Type 2)
Legal business name 904 Health, Inc
Other name <Unavail>
Practice address 96040 Lofton Square Ct, Yulee, FL, 32097
Phone (904) 659-2475
Fax (904) 453-8600
Enumeration date Dec 21, 2022
Last updated in NPPES Apr 9, 2025

Taxonomy & classification

207RI0200X Infectious Disease Physician Allopathic & Osteopathic Physicians Secondary
251K00000X Public Health or Welfare Agency Agencies Secondary
261QH0100X Health Service Clinic/Center Ambulatory Health Care Facilities Secondary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Wendy Kelly
Title Office Administrator
Phone (563) 650-2158

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 904 Health, Inc?
The NPI for 904 Health, Inc is 1699487678, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for 904 Health, Inc?
NPPES lists Wendy Kelly (Office Administrator) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-04-09.