Chi Mobile Medical Van

LBN: Community Health Of South Florida Inc
Chi Mobile Medical Van is an health care organization with primary practice located at 10300 Sw 216Th St , Cutler Bay FL 33190-1003. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Community Health Of South Florida Inc can be contacted via phone (305) 253-5100, or through Hartley, Brodes H via phone (305) 253-5100.

Contact Information

Primary practice address
10300 Sw 216Th St Cutler Bay FL 33190-1003
Phone: (305) 253-5100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hartley, Brodes H
Phone: (305) 253-5100

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1942822242
LBN Legal business name Community Health Of South Florida Inc
DBA Doing business as Chi Mobile Medical Van
Authorized official Hartley, Brodes H
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2020
Last updated May 11th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942822242 NPPES
Florida MEDICAID 029572800
Florida Other 1336152347

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