JACKSON MEMORIAL HOSPITAL NPI 1588737191

NPI Information

  • NPI: 1588737191
  • Provider Name: JACKSON MEMORIAL HOSPITAL
  • Classification: General Acute Care Hospital - 282NC0060X
  • Specialization: Critical Access
  • Entity Type: Organization
  • CLIA Number: 10D0024301
  • Address: 1611 NW 12TH AVE
    MIAMI, FL
    ZIP 33136
  • Phone: (305) 585-6586

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NPI Details

JACKSON MEMORIAL HOSPITAL is a critical access general acute care hospital in Miami, FL. JACKSON MEMORIAL HOSPITAL NPI is 1588737191. The provider is registered as an organization entity type.

The provider's business location address is:

1611 NW 12TH AVE
MIAMI, FL
ZIP 33136-005
Phone: (305) 585-6586

The provider's authorized official is Monica Paola Gross-ramos .
The authorized official title is C.r.n.a and has the following contact phone number (305) 585-6586.

The CLIA number assigned to this NPI record is 10D0024301 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 6/18/2008.

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
1282NC0060XGeneral Acute Care HospitalCritical Access2053812FLORIDAYes

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: 11/21/2025

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