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PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA NPI 1366514705


NPI Information

NPI: 1366514705
Provider Name: PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA

Doing Business As: JMH COMMUNITY MENTAL HEALTH OUTPATIENT CLINICS

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1695 NW 9TH AVE
MIAMI, FL
ZIP 33136
Phone: (305) 355-8234
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PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA is a mental health (including community mental health center) clinic center in Miami, FL. PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA NPI is 1366514705. The provider is registered as an organization entity type.
The provider Is Doing Business As Jmh Community Mental Health Outpatient Clinics.

The provider's business location address is:

1695 NW 9TH AVE
MIAMI, FL
ZIP 33136-409
Phone: (305) 355-8234
Fax: (305) 355-8235

The provider's authorized official is Mark T Knight .
The authorized official title is Chief Financial Officer and has the following contact phone number (305) 585-7979.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 4/18/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0700XClinic/CenterHearing and SpeechNo
2261QH0700XClinic/CenterHearing and Speech8511FLORIDANo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)8511FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1010042128MEDICAIDFLORIDA
2100022MEDICARE OSCAR/CERTIFICATIONFLORIDA
3101142128MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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