| Miami Beach Community Health Center, Inc. | |
|
11645 Biscayne Blvd Suite 103-104 North Miami FL 33181-3155 | |
| (305) 538-8835 | |
| (305) 891-3496 |
| Full Name | Miami Beach Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 11645 Biscayne Blvd, North Miami, Florida |
| Authorized Official Name and Position | Mark Rabinowitz (INTERIM CEO) |
| Authorized Official Contact | 3055388835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Beach Community Health Center, Inc. 11645 Biscayne Blvd Suite 207 Miami FL 33181-3155 Ph: (305) 538-8838 | Miami Beach Community Health Center, Inc. 11645 Biscayne Blvd Suite 103-104 North Miami FL 33181-3155 Ph: (305) 538-8835 |
| NPI Number | 1467606681 |
|---|---|
| Provider Enumeration Date | 11/14/2008 |
| Last Update Date | 04/30/2013 |
| Medicare PECOS PAC ID | 8123090925 |
|---|---|
| Medicare Enrollment ID | O20080324000278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467606681 | NPI | - | NPPES |
| 029544207 | Medicaid | FL | |
| 004242000 | Other | FL | MEDICAID PHARMACY |
| 029544208 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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