| Hammocks Health Center | |
|
14591 Sw 120th St Miami FL 33186-8638 | |
| (305) 253-5100 | |
| Not Available |
| Full Name | Hammocks Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 14591 Sw 120th St, Miami, Florida |
| Authorized Official Name and Position | Blake Hall (PRESIDENT & CEO) |
| Authorized Official Contact | 3052524853 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hammocks Health Center 10300 Sw 216 St Miami FL 33190 Ph: (305) 278-6434 | Hammocks Health Center 14591 Sw 120th St Miami FL 33186-8638 Ph: (305) 253-5100 |
| NPI Number | 1649947797 |
|---|---|
| Provider Enumeration Date | 08/26/2021 |
| Last Update Date | 08/29/2024 |
| Medicare PECOS PAC ID | 6507770526 |
|---|---|
| Medicare Enrollment ID | O20210908004081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649947797 | NPI | - | NPPES |
| 010762362 | Medicaid | FL | |
| 010762360 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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