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COLLIER HEALTH SERVICES INC NPI 1588879498


NPI Information

NPI: 1588879498
Provider Name: COLLIER HEALTH SERVICES INC

Doing Business As: IMMOKALEE FAMILY CARE CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D0911986

Address:
508 N 9TH ST
IMMOKALEE, FL
ZIP 34142
Phone: (239) 657-6363
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COLLIER HEALTH SERVICES INC is a family medicine in Immokalee, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COLLIER HEALTH SERVICES INC NPI is 1588879498. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Immokalee Family Care Center.

The provider's business location address is:

508 N 9TH ST
IMMOKALEE, FL
ZIP 34142-146
Phone: (239) 657-6363
Fax: (239) 657-1612

The provider's authorized official is Sandra E Steele .
The authorized official title is Chief Financial Officer and has the following contact phone number (239) 658-3003.

The CLIA number assigned to this NPI record is 10D0911986 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 2/21/2013.


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
1207Q00000XFamily MedicineYes

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
1029152811MEDICAIDFLORIDA

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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