Jackson Health Systems Jackson Memorial Hospita

LBN: Public Health Trust Of Miami Dade County Florida
Jackson Health Systems Jackson Memorial Hospita is an health care organization with primary practice located at 1611 Nw 12Th Street , Miami FL 33136-1005. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty. Public Health Trust Of Miami Dade County Florida can be contacted via phone (305) 585-8957, or through Knight, Mark T via phone (305) 585-7979.

Contact Information

Primary practice address
1611 Nw 12Th Street Miami FL 33136-1005
Phone: (305) 585-8957
Fax: (305) 585-5137
Website:
Map and Directions
Authorized official contact:
Name: Knight, Mark T
Phone: (305) 585-7979

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Hospitals / General Acute Care Hospital 282N00000X AHCA # 3998 Florida
Hospitals / General Acute Care Hospital 282N00000X 3998 Florida

Profile Details

NPI number 1225033020
LBN Legal business name Public Health Trust Of Miami Dade County Florida
DBA Doing business as Jackson Health Systems Jackson Memorial Hospita
Authorized official Knight, Mark T
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 17th, 2005
Last updated Apr 6th, 2017 - about 7 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 1225033020 NPPES
Florida MEDICAID 010042100
Florida MEDICAID 010042101
Florida MEDICAID 010042146

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