Organization
CAMILLUS HEALTH CONCERN, INC.
Active
Other names
Salvation Army
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS AFRAM-GYENING FACHE (CHIEF EXECUTIVE OFFICER)
(305) 533-0189
Entity
Organization
Contact information
Practice address
1907 NW 38TH ST STE 195, MIAMI, FL 33142-5446
(305) 637-6720
(305) 635-1123
Mailing address
336 NW 5TH ST, MIAMI, FL 33128-1616
(305) 577-4840
(305) 373-7431
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
680002505
—
FL
05
—
680002514
—
FL
Enumeration date
07/22/2008
Last updated
02/11/2021
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