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BOND COMMUNITY HEALTH CENTER INC. NPI 1396718409


NPI Information

NPI: 1396718409
Provider Name: BOND COMMUNITY HEALTH CENTER, INC.

Other Name: FQHC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1720 S GADSDEN ST
TALLAHASSEE, FL
ZIP 32301
Phone: (850) 576-4073
Get Directions

BOND COMMUNITY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Tallahassee, FL. BOND COMMUNITY HEALTH CENTER, INC. NPI is 1396718409. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Fqhc.

The provider's business location address is:

1720 S GADSDEN ST
TALLAHASSEE, FL
ZIP 32301-506
Phone: (850) 576-4073
Fax: (850) 576-2859

The provider's authorized official is Dana Schultz .
The authorized official title is Cfo and has the following contact phone number (850) 576-4073.

The enumeration date for this NPI number is 2/9/2006 and was last updated on 3/2/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyME88050FLORIDANo
2208000000XPediatricsME93798FLORIDANo
3207Q00000XFamily MedicineME76689FLORIDANo
4363AM0700XPhysician AssistantMedicalPA9101781FLORIDANo
5363LA2200XNurse PractitionerAdult HealthARNP3314182FLORIDANo
6363LA2200XNurse PractitionerAdult HealthARNP3172982FLORIDANo
7367A00000XAdvanced Practice MidwifeARNP1592962FLORIDANo
8367A00000XAdvanced Practice MidwifeARNP1756862FLORIDANo
9261QF0400XClinic/CenterFederally 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1060551400MEDICAIDFLORIDA
2060551403MEDICAIDFLORIDA
3060551402MEDICAIDFLORIDA
4060551401MEDICAIDFLORIDA
5105009OTHERFLORIDAHEALTHEASE FLORIDA
698705OTHERFLORIDABLUE CROSS BLUE SHIELD/FL

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.