Jireh Medical Center Corp
NPI 1932566965ActiveOrganization· General Practice· Hollywood, FL
General Practice in Hollywood, Florida, registered in NPPES in January 2016. The authorized official on file is Marta Rosa Fernandez, MD, Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1932566965 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 21, 2016 |
| Last updated in NPPES | Jun 12, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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