MEMORIAL HEALTHCARE SYSTEM (NPI# 1477670099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477670099 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HEALTHCARE SYSTEM |
| Practice Address |
100 Lincoln Rd Apt 338 Miami Beach FL 33139-2013 |
| Mailing Address |
1150 N 35th Ave Suite 499 Hollywood FL 33021-5424 |
| Practice Telephone | 3056724187 |
| Mailing Telephone | 9549856941 |
| Mailing Fax Number | 9549653599 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JESUS E PIRIZ (VICE PRESIDENT) |
| Authorized Official Telephone | 9549872020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
ME98204 | FL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA LICENSE | ME98204 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538424122 | Memorial Healthcare System | Clinic/Center | 801 N Flamingo Rd, Pembroke Pines, FL 33028-1046 | 2012-07-10 |
| 1073885042 | Memorial Healthcare System | Case Management | 1750 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4611 | 2012-02-06 |
| 1770809717 | Memorial Healthcare System | General Acute Care Hospital | 2900 Corporate Way, Miramar, FL 33025-3925 | 2010-04-15 |
| 1194794511 | Memorial Healthcare System | General Acute Care Hospital | 3501 Johnson St, Hollywood, FL 33021-5421 | 2006-03-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEMORIAL HEALTHCARE SYSTEM | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Street Address |
100 LINCOLN RD APT 338 |
| City | MIAMI BEACH |
| State | FL |
| Zip Code | 33139-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316046048 | James Winston Jr. | Psychologist | 100 Lincoln Rd, Suite 250e, Miami Beach, FL 33139-2013 | 2006-09-21 |
| 1659772622 | Mohammad Hassan Khazai | Internal Medicine | 100 Lincoln Rd, Unit 1221, Miami Beach, FL 33139-2013 | 2014-09-10 |
| 1609291368 | Neurointerventional Consultants, Pa | Radiology | 100 Lincoln Rd, # 1403, Miami Beach, FL 33139-2013 | 2014-03-04 |
| 1134403900 | Jerome Ginzburg | Pharmacist | 100 Lincoln Rd, Walgreens, Miami Beach, FL 33139-2013 | 2011-09-28 |
| 1801002845 | Luis A Sanchez | Dentist | 100 Lincoln Rd, Suite Cu7, Miami Beach, FL 33139-2013 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255973061 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 709 Alton Road Suite 430, Miami Beach, FL 33139 | 2019-10-14 |
| 1811548308 | Yoel O Guerra | Behavior Technician | 800 West Ave Apt 942, Miami Beach, FL 33139 | 2019-09-25 |
| 1285153239 | Stella Kocovic Villacorta | Internal Medicine | 709 Alton Road, Suite 440, Miami Beach, FL 33139 | 2017-09-11 |
| 1922524164 | Noel De Leon | Pharmacist | 730 15 Street Apt 1-d, Miami Beach, FL 33139 | 2017-08-18 |
| 1861916868 | Susana Cruz | Behavior Technician | 710 Washinghton Ave Apt# 223, Miami Beach, FL 33139 | 2017-08-01 |
| 1730627530 | Viviana Yerex | Behavior Technician | 800 West Ave. Apt. 602, Miami Beach, FL 33139 | 2017-02-01 |
| 1841662921 | Miami Beach Holistic Addiction Treatment Center | Substance Abuse Rehabilitation Facility | 309 23rd Street Ste 200-c, Miami Beach, FL 33139 | 2015-10-28 |
| 1609245778 | Borinquen Health Care Center Inc | Clinic/Center | 1050 4th Street, South Pointe Elementary, Miami Beach, FL 33139 | 2015-09-18 |
| 1558730622 | Borinquen Health Care Center Inc | Clinic/Center | 1420 Washington Avenue, Fienberg Fisher K-8, Miami Beach, FL 33139 | 2015-09-18 |
| 1407238603 | Wayne Holman | General Practice | 500 South Pointe Drive Suite 220, C/o Ridgeback Capital Management, Miami Beach, FL 33139 | 2015-06-24 |
| Find all providers in zip 33139 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477641587 | Jackson Memorial | General Acute Care Hospital | 1401 Bay Rd, 510, Miami Beach, FL 33139-3715 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952850828 | Tanya Kischa Bethel-hall | General Acute Care Hospital | 3094 Nw 72nd Ave, Margate, FL 33063-7878 | 2016-10-03 |
| 1033663752 | Uf Health | General Acute Care Hospital | 3529 Nw 42nd Ter, Gainesville, FL 32606-8131 | 2016-08-10 |
| 1902103583 | Lee Memorial | General Acute Care Hospital | 13681 Doctors Way Ste 16043, Fort Myers, FL 33912-4300 | 2011-02-17 |
| 1477871069 | Jackson Memorial Hospital | General Acute Care Hospital | 4304 E Whitewater Ave, Weston, FL 33332-2409 | 2010-05-07 |
| 1194953828 | Mount Sinai Medical Center | General Acute Care Hospital | 14700 Ne 9th Ave, Miami, FL 33161-2316 | 2009-07-01 |
| 1518157551 | Malcom Randall Va Medical Center | General Acute Care Hospital | 1601 S.w Archer Road, Gainesville, FL 32608-1135 | 2007-07-26 |
| 1720288921 | Joanne Lynn Brousseau | General Acute Care Hospital | 221 6th Ave S Apt E, Jacksonville, FL 32250-6664 | 2007-07-25 |
| 1306046131 | Jackson Hospital | General Acute Care Hospital | 10730 Sw 30th Pl, Davie, FL 33328-1536 | 2007-07-19 |
| 1649480146 | St Mary Surgical Inc | General Acute Care Hospital | 5343 59th Circle West, Kenneth City, FL 33709 | 2007-05-23 |
| 1477618387 | Department of Va, Miami Va Health Care | General Acute Care Hospital | 12530 Ne 1st, Miami, FL 33161 | 2006-12-22 |
| Find all providers with the same taxonomy | ||||
| City | MIAMI BEACH |
| Zip Code | 33139 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.