# JENCARE NEIGHBORHOOD MEDICAL CENTER NEWBURG, LLC

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

## Provider details

- **NPI number:** 1861752644
- **Authorized official:** MARY CHEN (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (305) 831-4722

## Contact information

- **Practice address:** 1918 HIKES LN, LOUISVILLE, KY 40218-2598
- **Practice address phone:** (305) 653-1770
- **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:** 05/25/2012
- **Last updated:** 10/31/2024