Coconut Grove Family Health Center

LBN: Helen B Bentley Family Health Center
Coconut Grove Family Health Center is an health care organization with primary practice located at 3090 Sw 37Th Ave , Miami FL 33133-4311. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Helen B Bentley Family Health Center can be contacted via phone (305) 447-4950, or through Davis, Caleb A via phone (305) 351-1314.

Contact Information

Primary practice address
3090 Sw 37Th Ave Miami FL 33133-4311
Phone: (305) 447-4950
Fax: (305) 444-7866
Website:
Map and Directions
Authorized official contact:
Name: Davis, Caleb A PHD
Phone: (305) 351-1314

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 719670 Florida

Profile Details

NPI number 1487657516
LBN Legal business name Helen B Bentley Family Health Center
DBA Doing business as Coconut Grove Family Health Center
Authorized official Davis, Caleb A PHD
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2005
Last updated Aug 22nd, 2020 - about 5 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 1487657516 NPPES
Florida MEDICAID 0295553100

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