Organization
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Active
Other names
Jackson North Community Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK T KNIGHT (CHIEF FINANCIAL OFFICER)
(305) 585-7979
Entity
Organization
Contact information
Practice address
15055 NW 27 AVENUE, OPA-LOCKA, FL 33054-3365
(305) 466-2800
(786) 466-2748
Mailing address
P.O. BOX 12493, MIAMI, FL 33101-2493
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
8511
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
8511
FL
261QM0850X
Adult Mental Health Clinic/Center
8511
FL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
8511
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005851600
—
FL
05
—
014357500
—
FL
05
—
075501000
—
FL
01
—
142202200
ASSISTED CARE SERVICES
FL
05
—
686226896
—
FL
05
—
912237100
—
FL
05
—
912301600
—
FL
Enumeration date
06/14/2005
Last updated
09/04/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us