| Care Resource Community Health Centers, Inc. | |
|
1680 Michigan Ave Ste 912 Miami Beach FL 33139 | |
| (305) 576-1234 | |
| Not Available |
| Full Name | Care Resource Community Health Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1680 Michigan Ave Ste 912, Miami Beach, Florida |
| Authorized Official Name and Position | Rick Siclari (CEO) |
| Authorized Official Contact | 3055761234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Resource Community Health Centers, Inc. 3510 Biscayne Blvd Ste 300 Miami FL 33137-3851 Ph: (305) 576-1234 | Care Resource Community Health Centers, Inc. 1680 Michigan Ave Ste 912 Miami Beach FL 33139 Ph: (305) 576-1234 |
| NPI Number | 1083606495 |
|---|---|
| Provider Enumeration Date | 08/22/2005 |
| Last Update Date | 09/27/2018 |
| Medicare PECOS PAC ID | 1658350749 |
|---|---|
| Medicare Enrollment ID | O20171226000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083606495 | NPI | - | NPPES |
| 0034079-09 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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