COLLIER HEALTH SERVICES INC NPI 1083377139

NPI Information

NPI: 1083377139
Provider Name: COLLIER HEALTH SERVICES INC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 10D1080838

Address:
1454 MADISON AVE W
IMMOKALEE, FL
ZIP 34142
Phone: (239) 658-3000
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COLLIER HEALTH SERVICES INC is a community health clinic center in Immokalee, FL. COLLIER HEALTH SERVICES INC NPI is 1083377139. The provider is registered as an organization entity type.

The provider's business location address is:

1454 MADISON AVE W
IMMOKALEE, FL
ZIP 34142-200
Phone: (239) 658-3000
Fax: (239) 932-6935

The provider's authorized official is Tami Raznoff .
The authorized official title is Cfo and has the following contact phone number (239) 658-3137.

The CLIA number assigned to this NPI record is 10D1080838 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/15/2021 and was last updated on 10/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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