| Miami Beach Community Health Center Inc | |
|
11645 Biscayne Blvd Ste 100 North Miami FL 33181-3155 | |
| (305) 538-8835 | |
| Not Available |
| Full Name | Miami Beach Community Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11645 Biscayne Blvd Ste 100, North Miami, Florida |
| Authorized Official Name and Position | Lizel Vionet Gonzalez (SENIOR EVP OF HUMAN RESOURCES) |
| Authorized Official Contact | 3052834749 |
| 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 Ste 207 North Miami FL 33181-3138 Ph: (305) 538-8835 | Miami Beach Community Health Center Inc 11645 Biscayne Blvd Ste 100 North Miami FL 33181-3155 Ph: (305) 538-8835 |
| NPI Number | 1821667981 |
|---|---|
| Provider Enumeration Date | 06/23/2021 |
| Last Update Date | 08/28/2024 |
| Medicare PECOS PAC ID | 8123090925 |
|---|---|
| Medicare Enrollment ID | O20210730000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821667981 | NPI | - | NPPES |
| 029544230 | Medicaid | FL | |
| 029544231 | 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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