Camillus Health Concern, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CAMILLUS HEALTH CONCERN, INC.

Practice address

724 NW 17TH St
Miami, FL 33136-1110

Phone

(305) 326-0032

NPI assigned

Jul 22, 2008

Organization subpart

No

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

Authorized official

Name

Shedrick Boren, PH.D.

Title

Executive Director

Phone

(305) 577-4840

Specialties & licenses 1

Addresses

Other names 1

• Mother Theresa Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Camillus Health Concern Inc

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1861402869

  O20040116000614

  Same enrollment
• Camillus Health Concern, Inc.

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1285055889

  O20040116000614

  Same enrollment
• Camillus Health Concern, Inc.

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1588829287

  O20040116000614

  Same enrollment
• Camillus Health Concern, Inc.

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1659536365

  O20040116000614

  Same enrollment
• Camillus Health Concern, Inc.

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1902061617

  O20040116000614

  Same enrollment

Locations

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1982869699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 NW 5TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331281616",
            "telephone_number": "305-577-4840",
            "fax_number": "305-373-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 NW 17TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361110",
            "telephone_number": "305-326-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMILLUS HEALTH CONCERN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "BOREN",
        "authorized_official_first_name": "SHEDRICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "305-577-4840",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mother Theresa",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Camillus Health Concern Inc
• Camillus Health Concern, Inc.
• Camillus Health Concern, Inc.
• Camillus Health Concern, Inc.
• Camillus Health Concern, Inc.
• Camillus House, Inc.
• Camillus Pharmacy
• Camillus Pharmacy LC
• Camillus Pharmacy LLC
• Camilo E. Lopez PA

• 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 Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.