JACKSON MEMORIAL HOSPITAL (NPI# 1578652533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578652533 |
| Entity Type | Organization |
| Organization Name | JACKSON MEMORIAL HOSPITAL |
| Practice Address |
157 Lowe St Tavernier FL 33070-2536 |
| Practice Telephone | 3058522617 |
| Mailing Telephone | 3058522617 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS VALERIE M. BELL (STAFF CRNA) |
| Authorized Official Telephone | 3055856586 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
FL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306158266 | Jackson Memorial Hospital | Special Hospital | 13128 Sw 45th Dr, Miramar, FL 33027-3160 | 2010-07-08 |
| 1477871069 | Jackson Memorial Hospital | General Acute Care Hospital | 4304 E Whitewater Ave, Weston, FL 33332-2409 | 2010-05-07 |
| 1992034466 | Jackson Memorial Hospital | General Acute Care Hospital | 2101 Brickell Ave, 712, Miami, FL 33129-2128 | 2009-12-13 |
| 1225275639 | Jackson Memorial Hospital | General Acute Care Hospital | 169 E Flagler St Fl 11, Miami, FL 33131-1210 | 2009-01-08 |
| 1861603706 | Jackson Memorial Hospital | Clinic/Center | 1600 Nw 12th Ave., Suite C-150, Miami, FL 33136 | 2007-05-24 |
| 1891879623 | Jackson Memorial Hospital | General Acute Care Hospital | 435 Ne 121st St, Apt 207, North Miami, FL 33161-5480 | 2006-10-25 |
| 1922196062 | Jackson Memorial Hospital | General Acute Care Hospital | 3311 Sw 17th St, Miami, FL 33145-1821 | 2006-10-11 |
| 1477568178 | Jackson Memorial Hospital | Clinic/Center | 13850 Nw 41st St, Doral, FL 33178-3004 | 2006-07-30 |
| 1366973745 | Jackson Memorial Hospital | Skilled Nursing Facility | 1611 Nw 12th Ave, East Tower, Miami, FL 33136-1005 | 2017-03-27 |
| 1497033500 | Jackson Memorial Hospital | Chronic Disease Hospital | 1450 Nw 10th Ave, Suite 2054a, Miami, FL 33136-1011 | 2011-07-25 |
| Street Address |
157 LOWE ST |
| City | TAVERNIER |
| State | FL |
| Zip Code | 33070-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821603739 | Stella Del Mare, LLC | Internal Medicine | 90130 Old Highway, Tavernier, FL 33070 | 2020-09-09 |
| 1104324524 | Alliance Healthcare Network Inc | Case Management | 92330 Overseas Hwy Ste 106, Tavernier, FL 33070 | 2018-01-31 |
| 1821335639 | Jacqueline Gavin | Nurse Practitioner | 91500 Overseas Highway, Tavernier, FL 33070 | 2013-01-14 |
| 1417131913 | Keys Physician Services Pa | Internal Medicine | 91500 O/s Hwy, Mariners Hospital, Tavernier, FL 33070 | 2007-12-20 |
| 1558553479 | Baptist Health Medical Group Upper Keys, LLC | Specialist | 91550 Overseas Highway, Suite 215, Tavernier, FL 33070 | 2007-08-14 |
| 1003037532 | John L Izanec Dds Pa | Dentist | 91750 Overseas Hwy, Tavernier, FL 33070 | 2007-05-01 |
| 1669591277 | Erica R Lieberman -garrett | Chiropractor | 90290 Overseas Highway, Suite 110, Tavernier, FL 33070 | 2007-03-28 |
| 1356362727 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 92100 Overseas Hwy, Tavernier, FL 33070 | 2006-07-21 |
| 1376580712 | Plantation Key Convalescent Center Inc | Skilled Nursing Facility | 48 High Point Road, Tavernier, FL 33070 | 2006-06-02 |
| 1669983680 | Epione Physician Services Inc | Voluntary or Charitable | 91500 Overseas Hwy, Tavernier, FL 33070 | 2017-10-17 |
| Find all providers in zip 33070 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.