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Variety Children'S Hospital

Organization Active NPI Ambulance · Opa Locka, FL

NPI 1255668331 · NPPES record last updated Jun 1, 2020

Key facts

NPI
1255668331
Entity type
Organization (NPI type 2)
Primary specialty
Ambulance 341600000X
License
3485 (FL)
Legal business name
VARIETY CHILDREN'S HOSPITAL
Practice address
15001 NW 42ND Ave
Opa Locka, FL 33054-2316
Phone
(305) 663-8533
Fax
(305) 669-6519
NPI assigned
Nov 10, 2009
Organization subpart
No

Authorized official

Name
Dawn Javersack, ADMINISTRATION
Title
SVP/Cfo
Phone
(786) 624-5747

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100325000559 FL Part B Supplier - Ambulance Service Supplier 0840200986 Practice locations: Miami, FL

National Provider Directory

Tax ID family
Miami Children'S Hosptial (32 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3485 FL Yes

Addresses

Primary practice location

15001 NW 42ND Ave
Opa Locka, FL 33054-2316

Mailing address

3100 SW 62ND Ave
Lifeflight
Miami, FL 33155-3009
Phone (786) 624-5837

Other names

  • Nicklaus Children's Hospital LifeFlight Doing business as

Other providers in Opa Locka, FL

All providers in Opa Locka, FL · Ambulance in Florida

Sources for this page

Verify at the official NPI Registry.