COMMUNITY HEALTH OF SOUTH FLORIDA INC NPI 1821251331

NPI Information

NPI: 1821251331
Provider Name: COMMUNITY HEALTH OF SOUTH FLORIDA INC

Other Name: MARTIN LUTHER KING & MARTIN LUTHER KING UCC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
810 W MOWRY DR
HOMESTEAD, FL
ZIP 33030
Phone: (305) 248-4334
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COMMUNITY HEALTH OF SOUTH FLORIDA INC is a federally qualified health center (fqhc) clinic center in Homestead, FL. COMMUNITY HEALTH OF SOUTH FLORIDA INC NPI is 1821251331. The provider is registered as an organization entity type.
The provider Other Name Is Martin Luther King & Martin Luther King Ucc.

The provider's business location address is:

810 W MOWRY DR
HOMESTEAD, FL
ZIP 33030-746
Phone: (305) 248-4334

The provider's authorized official is Brodes H. Hartley .
The authorized official title is President/ceo and has the following contact phone number (305) 253-5100.

The enumeration date for this NPI number is 7/3/2008 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	060303105	MEDICAID	FLORIDA
2	029572801	MEDICAID	FLORIDA
3	051423300	MEDICAID	FLORIDA
4	101905	MEDICARE OSCAR/CERTIFICATION	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: 5/5/2024

NPI Synchronization or Removal

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