CAMILLUS HEALTH CONCERN INC. NPI 1982869699

NPI Information

NPI: 1982869699
Provider Name: CAMILLUS HEALTH CONCERN, INC.

Other Name: MOTHER THERESA

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
724 NW 17TH ST
MIAMI, FL
ZIP 33136
Phone: (305) 326-0032
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CAMILLUS HEALTH CONCERN, INC. is a federally qualified health center (fqhc) clinic center in Miami, FL. CAMILLUS HEALTH CONCERN, INC. NPI is 1982869699. The provider is registered as an organization entity type.
The provider Other Name Is Mother Theresa.

The provider's business location address is:

724 NW 17TH ST
MIAMI, FL
ZIP 33136-110
Phone: (305) 326-0032

The provider's authorized official is Shedrick Boren .
The authorized official title is Executive Director and has the following contact phone number (305) 577-4840.

The enumeration date for this NPI number is 7/22/2008 and was last updated on 7/10/2014.

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

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: 4/28/2024

NPI Synchronization or Removal

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