| South Dade Senior High School | |
|
28401 Sw 167th Ave Homestead FL 33030-2005 | |
| (305) 245-3455 | |
| Not Available |
| Full Name | South Dade Senior High School |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 28401 Sw 167th Ave, 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 |
|---|---|
| South Dade Senior High School 10300 Sw 216th St Miami FL 33190-1003 Ph: (305) 253-5100 | South Dade Senior High School 28401 Sw 167th Ave Homestead FL 33030-2005 Ph: (305) 245-3455 |
| NPI Number | 1669626792 |
|---|---|
| Provider Enumeration Date | 11/17/2008 |
| Last Update Date | 09/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669626792 | NPI | - | NPPES |
| 029572832 - FQHC | Medicaid | FL | |
| 029572844 - FFS | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Hope & Grace Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 698 N Homestead Blvd, Suite 104, Homestead, FL 33030 Phone: 305-245-3534 | |
Homestead Mental Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 704 Washington Ave, Homestead, FL 33030 Phone: 786-219-8021 | |
Santos Medical Center Homestead Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29645 S Dixie Hwy, Homestead, FL 33033 Phone: 305-553-4595 Fax: 305-554-4596 | |
Airbase Elementary Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12829 Sw 272nd St, Homestead, FL 33032 Phone: 305-253-5100 | |
Quality Therapy Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25813 Sw 128th Ct, Homestead, FL 33032 Phone: 305-299-6374 | |
Florida Medical Center Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Nw 15th St, Homestead, FL 33030 Phone: 786-886-1030 | |
Cano Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 957 N Krome Ave, Homestead, FL 33030 Phone: 855-226-6633 |