Community Health of South Florida, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

COMMUNITY HEALTH OF SOUTH FLORIDA, INC.

Practice address

17990 SW 142ND Ave
Miami, FL 33177-7774

Phone

(305) 252-2193

NPI assigned

Nov 6, 2008

Last updated

Sep 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brodes H Hartley

Title

Ceo

Phone

(305) 253-5100

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• H.A. Ammons Middle School Other name

Locations

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1114171949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 SW 216TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331901003",
            "telephone_number": "305-253-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17990 SW 142ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331777774",
            "telephone_number": "305-252-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH OF SOUTH FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "BRODES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-253-5100"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029572841 - FFS",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029572829 - FQHC",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H.A. Ammons Middle School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Community Health of South Florida Inc
• Community Health of South Florida Inc
• Community Health of South Florida, Inc.
• Community Health of South Florida, Inc.
• Community Health of South Florida, Inc.
• Community Health of South Florida, Inc.
• Community Health of South Florida, Inc.
• Community Health of South Florida, Inc.
• Community Health of South Florida, Inc.
• Community Health of South Florida, Inc.

• Federally Qualified Health Center (FQHC) in Miami, FL
• Providers in Miami, FL by specialty
• Federally Qualified Health Center (FQHC) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.