BONITA COMMUNITY HEALTH CENTER INC NPI 1922096999

NPI Information

NPI: 1922096999
Provider Name: BONITA COMMUNITY HEALTH CENTER INC

Doing Business As: BONITA COMMUNITY HEALTH

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL
ZIP 34135
Phone: (239) 949-1050
Get Directions

BONITA COMMUNITY HEALTH CENTER INC is a general practice in Bonita Springs, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee BONITA COMMUNITY HEALTH CENTER INC NPI is 1922096999. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bonita Community Health.

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) 949-6115.

The enumeration date for this NPI number is 10/12/2005 and was last updated on 4/3/2008.

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	2085R0202X	Radiology	Diagnostic Radiology			No
2	208D00000X	General Practice				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	K2402	MEDICARE PIN	FLORIDA
2	925030	OTHER	FLORIDA	AETNA
3	CH7566	MEDICARE PIN	FLORIDA
4	274894	OTHER	FLORIDA	AVMED
5	45737	OTHER	FLORIDA	BCBS 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: 5/5/2024

NPI Synchronization or Removal

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