FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA INC. NPI 1497425789

NPI Information

NPI: 1497425789
Provider Name: FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
930 S MAIN ST
LABELLE, FL
ZIP 33935
Phone: (863) 675-0160
Get Directions

FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC. is a federally qualified health center (fqhc) clinic center in Labelle, FL. FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC. NPI is 1497425789. The provider is registered as an organization entity type.

The provider's business location address is:

930 S MAIN ST
LABELLE, FL
ZIP 33935-448
Phone: (863) 675-0160
Fax: (863) 675-1346

The provider's authorized official is Frank Mazzeo .
The authorized official title is President/ceo and has the following contact phone number (239) 278-3600.

The enumeration date for this NPI number is 9/17/2021 and was last updated on 6/21/2022.

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	029570138	MEDICAID	FLORIDA
2	101885	OTHER	FLORIDA	MEDICARE

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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