Ncl - Camillus House | |
1545 Nw 7th Ave Miami FL 33136-1403 | |
(305) 374-1065 | |
(305) 373-7431 |
Full Name | Ncl - Camillus House |
---|---|
Speciality | Clinic/Center |
Location | 1545 Nw 7th Ave, Miami, Florida |
Authorized Official Name and Position | Francis Afram-gyening (CEO) |
Authorized Official Contact | 3055330189 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ncl - Camillus House 336 Nw 5th St Miami FL 33128-1616 Ph: (305) 577-4840 | Ncl - Camillus House 1545 Nw 7th Ave Miami FL 33136-1403 Ph: (305) 374-1065 |
NPI Number | 1285055889 |
---|---|
Provider Enumeration Date | 12/27/2013 |
Last Update Date | 10/28/2024 |
Medicare PECOS PAC ID | 4688575210 |
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Medicare Enrollment ID | O20150113000306 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285055889 | NPI | - | NPPES |
680002515 | Medicaid | FL | |
680002516 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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