# JENCARE NEIGHBORHOOD MEDICAL VALLEY STATION, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** JenCare Neighborhood Medical Centers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295091999
- **Authorized official:** MARY CHEN (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (305) 831-4722

## Contact information

- **Practice address:** 8019 DIXIE HWY, STE 101, LOUISVILLE, KY 40258-1344
- **Practice address phone:** (305) 653-1770
- **Practice address fax:** (305) 650-0674
- **Mailing address:** 1395 NW 167TH ST, MIAMI, FL 33169-5710
- **Mailing address phone:** (305) 628-6117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | — |

## Other

- **Enumeration date:** 04/06/2012
- **Last updated:** 10/31/2024