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COMMUNITY CLINICAL CENTER INC NPI 1598910234


NPI Information

NPI: 1598910234
Provider Name: COMMUNITY CLINICAL CENTER INC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1490 W 49TH PL STE 398
HIALEAH, FL
ZIP 33012
Phone: (305) 362-4382
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COMMUNITY CLINICAL CENTER INC is a clinic center in Hialeah, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). COMMUNITY CLINICAL CENTER INC NPI is 1598910234. The provider is registered as an organization entity type.

The provider's business location address is:

1490 W 49TH PL STE 398
HIALEAH, FL
ZIP 33012-186
Phone: (305) 362-4382
Fax: (305) 362-4383

The provider's authorized official is Hector Hernandez .
The authorized official title is President and has the following contact phone number (305) 362-4382.

The enumeration date for this NPI number is 11/21/2008 and was last updated on 1/22/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

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
1FC560AMEDICARE PINFLORIDA

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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