Jackson North Community Mental Health Center

LBN: Public Health Trust Of Miami Dade County Florida
Jackson North Community Mental Health Center is an health care organization with primary practice located at 15055 Nw 27 Avenue , Opa-Locka FL 33054-3365. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Public Health Trust Of Miami Dade County Florida can be contacted via phone (305) 466-2800, or through Knight, Mark T via phone (305) 585-7979.

Contact Information

Primary practice address
15055 Nw 27 Avenue Opa-Locka FL 33054-3365
Phone: (305) 466-2800
Fax: (786) 466-2748
Website:
Map and Directions
Authorized official contact:
Name: Knight, Mark T
Phone: (305) 585-7979

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X 8511 Florida
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 8511 Florida
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 8511 Florida
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 8511 Florida

Profile Details

NPI number 1063417483
LBN Legal business name Public Health Trust Of Miami Dade County Florida
DBA Doing business as Jackson North Community Mental Health Center
Authorized official Knight, Mark T
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2005
Last updated Sep 4th, 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 1063417483 NPPES
Florida MEDICAID 014357500
Florida MEDICAID 075501000
Florida Other 142202200
Florida MEDICAID 005851600
Florida MEDICAID 912237100
Florida MEDICAID 912301600
Florida MEDICAID 686226896

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