Jackson Memorial Ltc Center

LBN: Public Health Trust Of Dade County Florida
Jackson Memorial Ltc Center is an health care organization with primary practice located at 2500 Nw 22Nd Ave , Miami FL 33142-8429. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Public Health Trust Of Dade County Florida can be contacted via phone (786) 466-3000, or through Acosta, Jose via phone (786) 466-3000.

Contact Information

Primary practice address
2500 Nw 22Nd Ave Miami FL 33142-8429
Phone: (786) 466-3000
Fax: (305) 638-6880
Website:
Map and Directions
Authorized official contact:
Name: Acosta, Jose PHARMD, CPH
Phone: (786) 466-3000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PH8034 Florida

Profile Details

NPI number 1346276581
LBN Legal business name Public Health Trust Of Dade County Florida
DBA Doing business as Jackson Memorial Ltc Center
Authorized official Acosta, Jose PHARMD, CPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2006
Last updated Apr 18th, 2012 - about 12 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 1346276581 NPPES
Other 1026093 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 103277100 NCPDP PROVIDER IDENTIFICATION NUMBER

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