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PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA NPI 1225033020


NPI Information

NPI: 1225033020
Provider Name: PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA

Doing Business As: JACKSON HEALTH SYSTEMS JACKSON MEMORIAL HOSPITA

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
1611 NW 12TH STREET
MIAMI, FL
ZIP 33136
Phone: (305) 585-8957
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PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA is a general acute care hospital in Miami, FL. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA NPI is 1225033020. The provider is registered as an organization entity type.
The provider Is Doing Business As Jackson Health Systems Jackson Memorial Hospita.

The provider's business location address is:

1611 NW 12TH STREET
MIAMI, FL
ZIP 33136-005
Phone: (305) 585-8957
Fax: (305) 585-5137

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 6/17/2005 and was last updated on 4/6/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282N00000XGeneral Acute Care HospitalAHCA # 3998FLORIDANo
2261Q00000XClinic/CenterNo
3282N00000XGeneral Acute Care Hospital3998FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1010042100MEDICAIDFLORIDA
2010042146MEDICAIDFLORIDA
3100022MEDICARE OSCAR/CERTIFICATIONFLORIDA
4010042101MEDICAIDFLORIDA

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

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