BOND COMMUNITY HEALTH CENTER NPI 1407109812

NPI Information

NPI: 1407109812
Provider Name: BOND COMMUNITY HEALTH CENTER

Doing Business As: BOND SPECIALTY AND WELLNESS CENTER

Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
1549 SOUTH MONROE STREET
BOND SPECIALITY AND WELLNESS
TALLAHASSEE, FL
ZIP 32301
Phone: (850) 576-4073
Get Directions

BOND COMMUNITY HEALTH CENTER is an adult medicine family medicine in Tallahassee, FL. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. BOND COMMUNITY HEALTH CENTER NPI is 1407109812. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bond Specialty And Wellness Center.

The provider's business location address is:

1549 SOUTH MONROE STREET
BOND SPECIALITY AND WELLNESS
TALLAHASSEE, FL
ZIP 32301
Phone: (850) 576-4073
Fax: (850) 576-0151

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

The CLIA number assigned to this NPI record is 10D0918039 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/23/2012 and was last updated on 11/16/2016.

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	207R00000X	Internal Medicine		ME80809	FLORIDA	No
2	207QA0505X	Family Medicine	Adult Medicine	ME76689	FLORIDA	Yes

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

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