Cms/Mch Primary Care Program

LBN: Cms/Mch Primary Care Program
Cms/Mch Primary Care Program is an health care organization with primary practice located at 3100 Sw 62Nd Ave , Miami FL 33155-3009. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Cms/Mch Primary Care Program can be contacted via phone (786) 624-2490, or through Janvier-Anglade, Manuella via phone (786) 624-2490.

Contact Information

Primary practice address
3100 Sw 62Nd Ave Miami FL 33155-3009
Phone: (786) 624-2490
Fax: (786) 624-5790
Website:
Map and Directions
Authorized official contact:
Name: Janvier-Anglade, Manuella Registered Nurse (RN)
Phone: (786) 624-2490

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1104895424
LBN Legal business name Cms/Mch Primary Care Program
DBA Doing business as
Authorized official Janvier-Anglade, Manuella Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2006
Last updated Jun 13th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104895424 NPPES
Florida MEDICAID 010060914

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