South Dade Health Center – Federally Qualified Health Center (FQHC), NPI 1760645287

South Dade Health Center is a healthcare provider. based in Miami, Florida. specializing in Federally Qualified Health Center (FQHC). The NPI Number for South Dade Health Center is 1760645287

Main info

Organization
Name
South Dade Health Center
NPI
1760645287
Phone
(305) 253-5100
Address
10300 SW 216TH ST
Authorized Official
MR. BLAKE HALL PRESIDENT/CEO
Enumeration Date
3 July 2008
Last Update Date
29 August 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness80
Years active:17State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for South Dade Health Center

  • 10300, Southwest 216th Street, Miami-Dade County, Florida, 33190, United States

    MIAMI, FL 331901003

    Phone: (305) 253-5100

    Fax: (305) 254-4987

    Type: Mailing

  • 13600, Southwest 312th Street, Homestead, Miami-Dade County, Florida, 33033, United States

    HOMESTEAD, FL 330335500

    Phone: (305) 242-6069

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-12-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20031204000481OFederally Qualified Health Center (Fqhc)FLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33190)

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Reviews

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Frequently asked questions

What is the standard ID for South Dade Health Center in the U.S.?
In the U.S., South Dade Health Center is identified by NPI 1760645287.
Should I treat South Dade Health Center as an active provider?
Patients and plans typically see South Dade Health Center as active in the national extract.
What does the directory say South Dade Health Center does?
Insurance directories may phrase it differently, but here South Dade Health Center maps to Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Can patients visit South Dade Health Center in Miami, Florida?
For routing, start with Miami, Florida for South Dade Health Center, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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