Organization Active NPI

Good Samaritan Community Health, Inc.

  • Community Health Clinic/Center
  • Miami, FL
National Provider Identifier
1104006824
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
GOOD SAMARITAN COMMUNITY HEALTH, INC.
Practice address
7701 SW 98TH St
Miami, FL 33156-2634
Phone
(305) 316-7444
Fax
(305) 468-6349
NPI assigned
Nov 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jose Roberto Nery, M.D.NPI 1376723080
Title
President
Phone
(305) 316-7444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X FL Primary

Addresses

Primary practice location

7701 SW 98TH St
Miami, FL 33156-2634

Mailing address

7110 SW 109TH Ter
Miami, FL 33156-3968
Phone (305) 661-0171

National Provider Directory

National Provider Directory

Locations

7701 SW 98th St
Miami, FL 33156
Phone (305) 316-7444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104006824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 SW 109TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331563968",
            "telephone_number": "305-661-0171",
            "fax_number": "305-468-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 SW 98TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562634",
            "telephone_number": "305-316-7444",
            "fax_number": "305-468-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN COMMUNITY HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NERY",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-316-7444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.