COMMUNITY HEALTH OF SOUTH FLORIDA INC. NPI 1184887911

NPI Information

NPI: 1184887911
Provider Name: COMMUNITY HEALTH OF SOUTH FLORIDA, INC.

Other Name: EVERGLADES HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
19300 SW 376TH ST
FLORIDA CITY, FL
ZIP 33034
Phone: (305) 246-4607
Get Directions

COMMUNITY HEALTH OF SOUTH FLORIDA, INC. is a federally qualified health center (fqhc) clinic center in Florida City, FL. COMMUNITY HEALTH OF SOUTH FLORIDA, INC. NPI is 1184887911. The provider is registered as an organization entity type.
The provider Other Name Is Everglades Health Center.

The provider's business location address is:

19300 SW 376TH ST
FLORIDA CITY, FL
ZIP 33034-300
Phone: (305) 246-4607

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 7/2/2008 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	029572809	MEDICAID	FLORIDA
2	101955	MEDICARE OSCAR/CERTIFICATION	FLORIDA
3	060303104	MEDICAID	FLORIDA
4	029572814	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »