| Pht Jmh Inpatient Psy Unit | |
|
1611 Nw 12th Street Miami FL 33136-1005 | |
| (305) 585-8490 | |
| (305) 355-2377 |
| Full Name | Pht Jmh Inpatient Psy Unit |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1611 Nw 12th Street, Miami, Florida |
| Authorized Official Name and Position | Mark T Knight (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3055857979 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pht Jmh Inpatient Psy Unit Po Box 12493 Miami FL 33101-2493 Ph: (786) 466-8080 | Pht Jmh Inpatient Psy Unit 1611 Nw 12th Street Miami FL 33136-1005 Ph: (305) 585-8490 |
| NPI Number | 1649340415 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 04/06/2017 |
| Medicare PECOS PAC ID | 8628981925 |
|---|---|
| Medicare Enrollment ID | O20111121000881 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649340415 | NPI | - | NPPES |
| 010042100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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