BANYAN COMMUNITY HEALTH CENTER INC. NPI 1205233772

NPI Information

NPI: 1205233772
Provider Name: BANYAN COMMUNITY HEALTH CENTER, INC.

Doing Business As: BANYAN HEALTH SYSTEMS, INC.

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
3800 W FLAGLER ST
CORAL GABLES, FL
ZIP 33134
Phone: (305) 774-3400
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 1205233772. The provider is registered as an organization entity type.
The provider Is Doing Business As Banyan Health Systems, Inc..

The provider's business location address is:

3800 W FLAGLER ST
CORAL GABLES, FL
ZIP 33134-604
Phone: (305) 774-3400
Fax: (305) 442-0482

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 12/1/2014 and was last updated on 7/28/2021.

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	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	013881903	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: 11/14/2023

NPI Synchronization or Removal

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