St. John Clinic Medical Center
LBN: St. John Clinic Medical Center
St. John Clinic Medical Center is an health care organization with primary practice located at 161 Nw 29Th St , Miami FL 33127-3929. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
St. John Clinic Medical Center can be contacted via phone (305) 576-0231, or through Cruz, Reynaldo via phone (305) 576-0231.
Contact Information
Primary practice address
161 Nw 29Th St
Miami FL 33127-3929
Phone: (305) 576-0231
Fax: (305) 573-1458
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | Florida | |
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | Florida | |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | Florida |
Profile Details
| NPI number | 1760470652 |
|---|---|
| LBN Legal business name | St. John Clinic Medical Center |
| DBA Doing business as | |
| Authorized official | Cruz, Reynaldo |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Jul 21st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760470652 | NPPES |
| Florida | Other | 4624 | TOTAL HEALTH CHOICE |
| Florida | MEDICAID | 060387200 | TOTAL HEALTH CHOICE |
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