BENJAMIN OUTREACH MEDICAL NETWORK CORPORATION
NPI 1518248418
Clinic/Center - Health Service in Hollywood, FL
NPI Status: Active since September 06, 2011
Contact Information
3939 HOLLYWOOD BLVD STE 1B
HOLLYWOOD, FL
ZIP 33021
Phone: (954) 251-0267
Fax: (754) 212-0473
- Organization
- Clinic/Center
- Health Service
- Accepts Insurance
- CLIA Number: 10D2034556
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-11-2026
About BENJAMIN OUTREACH MEDICAL NETWORK CORPORATION
This page provides the complete NPI Profile along with additional information for Benjamin Outreach Medical Network Corporation, a provider established in Hollywood, Florida operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1518248418 assigned on September 2011. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated one year ago. Benjamin Outreach Medical Network Corporation operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's
- NPI
- 1518248418
- Provider Legal Name
- BENJAMIN OUTREACH MEDICAL NETWORK CORPORATION
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 3939 HOLLYWOOD BLVD STE 1B HOLLYWOOD, FL 33021
- Location Phone
- (954) 251-0267
- Location Fax
- (754) 212-0473
- Mailing Address
- 3939 HOLLYWOOD BLVD STE 1B HOLLYWOOD, FL 33021
- Mailing Phone
- (954) 251-0267
- Mailing Fax
- (754) 212-0473
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-06-2011
- Last Update Date
- 07-04-2025
- Code Navigator
Location Map
Secondary Locations
- 7900 NW 27th Ave Ste B03
Miami, FL 33147
(954) 251-0267
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Health Service
- Taxonomy Code
- 261QH0100X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TA0700X | Behavioral Health & Social Service Providers | Psychologist | |
| 2 | 103TF0000X | Behavioral Health & Social Service Providers | Psychologist | |
| 3 | 103TP2701X | Behavioral Health & Social Service Providers | Psychologist | |
| 4 | 251S00000X | Agencies | Community/Behavioral Health | |
| 5 | 261QC1500X | Ambulatory Health Care Facilities | Clinic/Center | |
| 6 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 7 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 8 | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AvMed Entrust Bronze 600 (2026) - HMO
- AvMed Entrust Bronze 650 (2026) - HMO
- AvMed Entrust Expanded Bronze Standard (2026) - HMO
- AvMed Entrust Gold 125 (2026) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2026) - HMO
- AvMed Entrust Gold Standard (2026) - HMO
- AvMed Entrust Platinum 25 (2026) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2026) - HMO
- AvMed Entrust Platinum Standard (2026) - HMO
- AvMed Entrust Silver 350 (2026) - HMO
- AvMed Entrust Silver 350 Dental+Vision (2026) - HMO
- AvMed Entrust Silver 550 (2026) - HMO
- AvMed Entrust Silver 550 Dental+Vision (2026) - HMO
- AvMed Entrust Silver Standard (2026) - HMO
- Molina Bronze Enhanced 3500 - HMO
- Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision - HMO
- Molina Bronze Enhanced 3500 Plus with Adult Vision - HMO
- Molina Bronze Premier with $0 Medical Deductible - HMO
- Molina Bronze Premier with $0 Medical Deductible Plus with Adult Dental and Vision - HMO
- Molina Bronze Premier with $0 Medical Deductible Plus with Adult Vision - HMO
- Molina Bronze Standard - HMO
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Core 1640 Plus with Adult Vision - HMO
- Molina Gold Enhanced 895 - HMO
- Molina Gold Enhanced 895 Plus with Adult Dental and Vision - HMO
- Molina Gold Enhanced 895 Plus with Adult Vision - HMO
- Molina Gold Standard - HMO
- Molina Silver Access - HMO
- Molina Silver Access Plus with Adult Dental and Vision - HMO
- Molina Silver Access Plus with Adult Vision - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 279510800 | MEDICAID (05) | FL |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2034556
- Facility Type
- Physician Office
- Certificate Effective Date
- October 12, 2024
- Certificate Expiration Date
- October 11, 2026
- Laboratory Director
- VAUNRANCE BENJAMIN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Benjamin Outreach Medical Network Corporation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for BENJAMIN OUTREACH MEDICAL NETWORK CORPORATION
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1518248418, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
HOLLYWOOD, FL 33021
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518248418, enumerated as an "organization" on September 06, 2011.
The provider is located at 3939 HOLLYWOOD BLVD STE 1B HOLLYWOOD, FL 33021 and the phone number is (954) 251-0267.
Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.
The provider might be accepting Accepts: AvMed, Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
