| Airbase Elementary | |
|
12829 Sw 272nd St Homestead FL 33032-7805 | |
| (305) 253-5100 | |
| Not Available |
| Full Name | Airbase Elementary |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 12829 Sw 272nd St, Homestead, Florida |
| Authorized Official Name and Position | Brodes H Hartley (CEO) |
| Authorized Official Contact | 3052535100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Airbase Elementary 10300 Sw 216th St Miami FL 33190-1003 Ph: (305) 253-5100 | Airbase Elementary 12829 Sw 272nd St Homestead FL 33032-7805 Ph: (305) 253-5100 |
| NPI Number | 1013162148 |
|---|---|
| Provider Enumeration Date | 11/17/2008 |
| Last Update Date | 09/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013162148 | NPI | - | NPPES |
| 029572864 - FFS | Medicaid | FL | |
| 029572854 - FQHC | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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