Jackson Memorial Hospital | Miami, FL • PECOS Search

Jackson Memorial Hospital

General Acute Care Hospital

Hospitals

1611 NW 12th Ave, Miami, FL 33136-1005

PECOS Enrollment

Based on the most recent information from CMS, provider Jackson Memorial Hospital does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 15 days ago.

Profile Details

Provider ID
1205081262
Provider Type
Organization
Full Name
Jackson Memorial Hospital

Subpart
No
Enumeration Date
11/18/2008
Last Updated
11/18/2008

Contact Information

Practice Location

1611 NW 12th Ave, Miami, FL 33136-1005

Unlisted Fax

Mailing Location

1611 NW 12th Ave, Miami, FL 33136-1005

Unlisted Fax

Authorized Official

Reilly, Peter (Dietitian)

Provider Taxonomies

Code	Description	License
Code 282N00000X Primary	Description General Acute Care Hospital Hospitals	License ND5329 Florida