# JENCARE NEIGHBORHOOD MEDICAL CENTER WEST BROADWAY, LLC

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

## Provider details

- **NPI number:** 1740540525
- **Authorized official:** MARY CHEN (EXECTIVE VP)
- **Authorized official phone:** (305) 831-4722

## Contact information

- **Practice address:** 2406 W BROADWAY, LOUISVILLE, KY 40211-1008
- **Practice address phone:** (305) 653-1770
- **Mailing address:** 1395 NW 167TH ST, MIAMI, FL 33169-5710
- **Mailing address phone:** (305) 621-6117

## Taxonomy

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

## Other

- **Enumeration date:** 05/25/2012
- **Last updated:** 10/31/2024