Look up the most recent NPI and PECOS records

Jackson Health System

(<Unavail>)

General Acute Care Hospital

Hospitals

PECOS Enrollment

Based on the most recent information from CMS, provider Jackson Health System 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
1265579320
Provider Type
Organization
Full Name
Jackson Health System
Other Name
<Unavail>

Subpart
No
Enumeration Date
1/30/2007
Last Updated
8/22/2020

Contact Information

Practice Location

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

(305) 585-6101

(305) 585-2551

Mailing Location

7108 SW 113th Ct, Miami, FL 33173-1925

(305) 585-6101

(305) 585-2551

Authorized Official

Robinson, Mary-Keen (Quality Manager)

(305) 585-6101

Provider Taxonomies

Code	Description	License
Code 282N00000X Primary	Description General Acute Care Hospital Hospitals	License 83389-1 Florida

Jackson Health System

(<Unavail>)

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Jackson Health System

Jackson Mem Hos

University Of Miami

Jackson Memorial Hospital

Glaser, Kimberly Michelle

University Of Miami

Jackson Health System

University Of Miami

Jackson Memorial Hospital

Hibi, Taizo