CITRUS HEALTH NETWORK INC NPI 1033412184

NPI Information

NPI: 1033412184
Provider Name: CITRUS HEALTH NETWORK INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
4125 W 20TH AVE
HIALEAH, FL
ZIP 33012
Phone: (305) 424-3100
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CITRUS HEALTH NETWORK INC is a federally qualified health center (fqhc) clinic center in Hialeah, FL. CITRUS HEALTH NETWORK INC NPI is 1033412184. The provider is registered as an organization entity type.

The provider's business location address is:

4125 W 20TH AVE
HIALEAH, FL
ZIP 33012-874
Phone: (305) 424-3100
Fax: (305) 825-1645

The provider's authorized official is Mario E Jardon .
The authorized official title is Ceo and has the following contact phone number (305) 424-3100.

The enumeration date for this NPI number is 12/13/2010 and was last updated on 11/3/2014.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	744441	FLORIDA	Yes

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
1	688571300	MEDICAID	FLORIDA

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: 11/14/2023

NPI Synchronization or Removal

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