COLLIER HEALTH SERVICES INC NPI 1508079245

NPI Information

NPI: 1508079245
Provider Name: COLLIER HEALTH SERVICES INC

Doing Business As: IMMOKALEE FAMILY CARE CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
508 N 9TH ST
SUITE 142
IMMOKALEE, FL
ZIP 34142
Phone: (239) 657-6363
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COLLIER HEALTH SERVICES INC is a federally qualified health center (fqhc) clinic center in Immokalee, FL. COLLIER HEALTH SERVICES INC NPI is 1508079245. The provider is registered as an organization entity type.
The provider Is Doing Business As Immokalee Family Care Center.

The provider's business location address is:

508 N 9TH ST
SUITE 142
IMMOKALEE, FL
ZIP 34142-146
Phone: (239) 657-6363
Fax: (239) 657-1612

The provider's authorized official is Sandra E Steele .
The authorized official title is Chief Financial Officer and has the following contact phone number (239) 658-3003.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 4/3/2013.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	101822	MEDICARE OSCAR/CERTIFICATION	FLORIDA
2	029152810	MEDICAID	FLORIDA

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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