COMMUNITY HEALTH OF SOUTH FLORIDA INC NPI 1164685673

NPI Information

NPI: 1164685673
Provider Name: COMMUNITY HEALTH OF SOUTH FLORIDA INC

Other Name: WEST PERRINE HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
18255 HOMESTEAD AVE
PERRINE, FL
ZIP 33157
Phone: (305) 252-4487
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COMMUNITY HEALTH OF SOUTH FLORIDA INC is a federally qualified health center (fqhc) clinic center in Perrine, FL. COMMUNITY HEALTH OF SOUTH FLORIDA INC NPI is 1164685673. The provider is registered as an organization entity type.
The provider Other Name Is West Perrine Health Center.

The provider's business location address is:

18255 HOMESTEAD AVE
PERRINE, FL
ZIP 33157-564
Phone: (305) 252-4487

The provider's authorized official is Brodes H Hartley .
The authorized official title is Ceo and has the following contact phone number (305) 253-5100.

The enumeration date for this NPI number is 7/3/2008 and was last updated on 4/17/2013.

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)			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
1	101898	MEDICARE OSCAR/CERTIFICATION	FLORIDA
2	029572804	MEDICAID	FLORIDA
3	053715201	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: 5/5/2024

NPI Synchronization or Removal

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