Jackson Memorial Hospital

LBN: Jackson Memorial Hospital
Jackson Memorial Hospital is an health care organization with primary practice located at 1450 Nw 10Th Ave Suite 2054A, Miami FL 33136-1011. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Hospitals / Chronic Disease Hospital. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Jackson Memorial Hospital can be contacted via phone (917) 536-1624, or through Harja, Evis via phone (917) 536-1634.

Contact Information

Primary practice address
1450 Nw 10Th Ave Suite 2054A Miami FL 33136-1011
Phone: (917) 536-1624
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harja, Evis Doctor of Medicine (MD)
Phone: (917) 536-1634

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Hospitals / Chronic Disease Hospital 281P00000X

Profile Details

NPI number 1497033500
LBN Legal business name Jackson Memorial Hospital
DBA Doing business as
Authorized official Harja, Evis Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2011
Last updated Jul 25th, 2011 - about 14 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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