| Community Health Of South Florida, Inc. | |
|
28401 Sw 167th Ave Homestead FL 33030-2005 | |
| (305) 245-3455 | |
| Not Available |
| Full Name | Community Health Of South Florida, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 28401 Sw 167th Ave, Homestead, Florida |
| Authorized Official Name and Position | Brodes H. Hartley (CEO) |
| Authorized Official Contact | 3052535100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Of South Florida, Inc. 10300 Sw 216th St Miami FL 33190-1003 Ph: (305) 253-5100 | Community Health Of South Florida, Inc. 28401 Sw 167th Ave Homestead FL 33030-2005 Ph: (305) 245-3455 |
| NPI Number | 1669626792 |
|---|---|
| Provider Enumeration Date | 11/17/2008 |
| Last Update Date | 09/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669626792 | NPI | - | NPPES |
| 029572832 - FQHC | Medicaid | FL | |
| 029572844 - FFS | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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