Care Resource Community Health Centers, Inc, NPI 1053311373
Federally Qualified Health Center (FQHC) in Miami, FL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1053311373
NPI Entity Type Organization
Provider Name Care Resource Community Health Centers, Inc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 3510 Biscayne Blvd, Miami, FL, US
Provider Mailing Address 3510 Biscayne Blvd, Suite 300, Miami, FL, US, 331373840
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name MR. M.B.A. Rick Siclari
Official Position CHIEF EXECUTIVE OFFICER
Phone 305-576-1234

Primary Taxonomy

Taxonomy Code

261QF0400X

Taxonomy Name Federally Qualified Health Center (FQHC)
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

License State FL
Description Definition to come...

Other Organization Name

Care resource
Doing Business As

Business Address

Care Resource Community Health Centers, Inc
3510 Biscayne Blvd

Miami, FL, US

Phone: 305-576-1234
Fax: 305-571-2020

Mailing Address

Care Resource Community Health Centers, Inc
3510 Biscayne Blvd
Suite 300
Miami, FL, US
ZIP 331373840
Phone: 305-576-1234
Fax: 305-571-2020

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

251S00000X

Agencies

Community/Behavioral Health

FL No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
26341 FL BLUE CROSS BLUE SHIELD 01
0034079-02 FL MEDICAID 05

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1841912870

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MD Tiffani Mathew

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MR. MAT, ATC Robert Michael Shifrin

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OTR/L Raquel Ioia

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Occupational Therapist

3898 Via Poinciana Ste 17

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