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PHYSICIANS CREEK INC NPI 1811385990


NPI Information

NPI: 1811385990
Provider Name: PHYSICIANS CREEK INC

Doing Business As: MERCY HOSPITAL, JACKSON HEALTH SERVICES, WESTCHESTER GENERAL HOSPITAL,

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 10D2217732

Address:
2040 NE 163RD ST STE 204
NORTH MIAMI BEACH, FL
ZIP 33162
Phone: (305) 720-4004
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PHYSICIANS CREEK INC is a general acute care hospital in North Miami Beach, 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. PHYSICIANS CREEK INC NPI is 1811385990. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Hospital, Jackson Health Services, Westchester General Hospital,.

The provider's business location address is:

2040 NE 163RD ST STE 204
NORTH MIAMI BEACH, FL
ZIP 33162-953
Phone: (305) 720-4004

The provider's authorized official is Adam M Au .
The authorized official title is Ceo and has the following contact phone number (305) 720-4004.

The CLIA number assigned to this NPI record is 10D2217732 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/25/2014 and was last updated on 7/28/2020.


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
1281P00000XChronic Disease HospitalOS11940FLORIDANo
2282N00000XGeneral Acute Care HospitalOS11940FLORIDAYes

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 Other Provider Identifier Issuer
1100892400MEDICAIDFLORIDA

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

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