Airbase Elementary | |
12829 Sw 272nd St Homestead FL 33032-7805 | |
(305) 253-5100 | |
Not Available |
Full Name | Airbase Elementary |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 12829 Sw 272nd St, Homestead, Florida |
Authorized Official Name and Position | Brodes H Hartley (CEO) |
Authorized Official Contact | 3052535100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Airbase Elementary 10300 Sw 216th St Miami FL 33190-1003 Ph: (305) 253-5100 | Airbase Elementary 12829 Sw 272nd St Homestead FL 33032-7805 Ph: (305) 253-5100 |
NPI Number | 1013162148 |
---|---|
Provider Enumeration Date | 11/17/2008 |
Last Update Date | 09/19/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013162148 | NPI | - | NPPES |
029572864 - FFS | Medicaid | FL | |
029572854 - FQHC | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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