BANYAN COMMUNITY HEALTH CENTER INC NPI 1104247188

NPI Information

NPI: 1104247188
Provider Name: BANYAN COMMUNITY HEALTH CENTER, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
3733 W FLAGLER ST
CORAL GABLES, FL
ZIP 33134
Phone: (305) 398-6100
Get Directions

BANYAN COMMUNITY HEALTH CENTER, INC is a federally qualified health center (fqhc) clinic center in Coral Gables, FL. BANYAN COMMUNITY HEALTH CENTER, INC NPI is 1104247188. The provider is registered as an organization entity type.

The provider's business location address is:

3733 W FLAGLER ST
CORAL GABLES, FL
ZIP 33134-601
Phone: (305) 398-6100
Fax: (305) 398-6099

The provider's authorized official is Vincent Carrodeguas .
The authorized official title is Ceo and has the following contact phone number (305) 398-6100.

The enumeration date for this NPI number is 12/18/2013 and was last updated on 4/18/2022.

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	251S00000X	Community/Behavioral Health				No
2	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
1	013881911	MEDICAID	FLORIDA
2	013881900	MEDICAID	FLORIDA
3	013881901	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: 4/28/2024

NPI Synchronization or Removal

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