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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Shands at Lake Shore Inc

Clinic/Center in Lake City, FL · enumerated 2006 · authorized official Jodi Mansfield, Sr. Vice President & Coo.

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

National Provider Identifier

1730275538

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Shands at Lake Shore Inc
Other name <Unavail>
Parent organization Shands at Lake Shore Inc
Practice address 368 Ne Franklin St, Lake City, FL, 32055
Phone (386) 754-8000
Fax (352) 733-0069
Enumeration date Oct 5, 2006
Last updated in NPPES May 7, 2008

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities · License 4258 (FL) Primary

Authorized official

Name Jodi Mansfield
Title Sr. Vice President & Coo
Phone (352) 265-0440

Other identifiers

Identifier Type State Issuer
CK8077 Other FL MEDICARE RR
264258100 Medicaid FL -

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 a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Shands at Lake Shore Inc?
Shands at Lake Shore Inc is registered in NPPES as a Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-05-07.