JACKSON HEALTH SYSTEM
NPI 1639338221
General Acute Care Hospital in Miami, FL

Active since June 09, 2008CLIA 10D2112855 · Waiver
1611 NW 12TH AVE, MIAMI, FL 33136(786) 466-8381(305) 325-8965 Get Directions Write a Review

NPPES record last updated: June 9, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson Health System NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON HEALTH SYSTEM (NPI 1639338221) is a healthcare organization registered as a general acute care hospital in Miami, Florida and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through May 9, 2028 and lists Alma Breeden, Manager, as its authorized official.

NPPES Registry Identity

NPI1639338221
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameJACKSON HEALTH SYSTEM
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address1611 Nw 12th AveMiami, FL 33136-1005 · (786) 466-8381 · Fax (305) 325-8965
Fax(305) 325-8965
Organization SubpartNo
Authorized OfficialAlma BreedenManager · (786) 466-8381
Enumeration DateJune 9, 2008
NPI 1639338221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License Licensed in FL · 1359682
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
1611 NW 12TH AVE, Miami, FL 33136

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2112855

Jackson Health System · Miami, FL
Active · expires May 9, 2028
CLIA Number10D2112855
Laboratory TypeUrgent Care Center
Certificate Effective DateMay 10, 2026
Certificate Expiration DateMay 9, 2028
Laboratory DirectorRamses Perez
Laboratory Phone(305) 585-9200
Laboratory LocationJackson Health System13707 S W 152nd St, Miami, FL 33177
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Health System's NPI number?

The NPI number for Jackson Health System is 1639338221. It was assigned to this organization in the NPPES registry on June 9, 2008.

Where is Jackson Health System located?

Jackson Health System is located at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (786) 466-8381.

What is Jackson Health System's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Jackson Health System hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2112855) is associated with this NPI, valid through May 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jackson Health System accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Jackson Health System as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackson Health System was last updated on June 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.