BONITA COMMUNITY HEALTH CENTER INC NPI 1518955897

NPI Information

NPI: 1518955897
Provider Name: BONITA COMMUNITY HEALTH CENTER INC

Doing Business As: BONITA SPRINGS HEALTH CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL
ZIP 34135
Phone: (239) 949-1050
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BONITA COMMUNITY HEALTH CENTER INC is an ambulatory surgical clinic center in Bonita Springs, FL. BONITA COMMUNITY HEALTH CENTER INC NPI is 1518955897. The provider is registered as an organization entity type.
The provider Is Doing Business As Bonita Springs Health Center.

The provider's business location address is:

3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL
ZIP 34135-127
Phone: (239) 949-1050
Fax: (239) 949-6111

The provider's authorized official is Mike Riley .
The authorized official title is Ceo and has the following contact phone number (239) 949-1050.

The CLIA number assigned to this NPI record is 10D0981595 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2005 and was last updated on 3/13/2008.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	1116	FLORIDA	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	69C	OTHER	FLORIDA	BCBS OF FLORIDA
2	F1344	MEDICARE PIN	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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