OrganizationActive
Memorial Hospital
NPI 1124380969 · General Acute Care Hospital · Jacksonville, FL
Provider details
- NPI number
- 1124380969
- Entity type
- Organization
- Primary specialty
- General Acute Care HospitalHospitals
- Organization subpart
- No
- Authorized official
- Andrew Green, Family Nurse Practitioner(904) 391-1534
- License
- ARNP9176315 (FL)
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3625 University Blvd S
Jacksonville, FL 32216-4207
Phone: (904) 399-6111
Street-level locationGet directions
Mailing address
3625 University Blvd S
Jacksonville, FL 32216-4207
Registry dates
- Enumerated
- 2012-06-07
- Last updated
- 2012-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.