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NPI Code Detail

MEDICARE: PRIVATE HEALTHCARE FACILITIES

MEDICARE: PRIVATE HEALTHCARE FACILITIES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QB0400XBirthing Clinic/Center

General Provider Information

NPI Number : 1770066391
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIVATE HEALTHCARE FACILITIES
Provider Business Mailing Address
First Line : 902 KITTY HAWK RD # 170487
Second Line :
City : UNIVERSAL CITY
State : TX
Zip : 78148-3825
Country : US
Telephone Number : 866-996-2340
Fax Number : 888-329-2091
Provider Business Practice Location Address
First Line : 16600 NE 8TH AVE
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-3618
Country : US
Telephone Number : 866-996-2340
Fax Number :
Authorized Official
Title or Position : OFFICE STAFF
Name : MS. PRISCILLA HOLLINGSWORTH
Credential :
Telephone Number : 866-996-2340
Provider Enumeration Date : 09/10/2018
Last Update Date : 06/10/2024

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Directions to “PRIVATE HEALTHCARE FACILITIES ” Practice Location

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