Collier Health Services Inc in Immokalee - Federally Qualified Health Center (fqhc)
Collier Health Services Inc - NPI 1053526962
Collier Health Services Inc is a Federally Qualified Health Center (fqhc) in Immokalee, Florida. Collier Health Services Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Collier Health Services Inc is 1053526962. The last update date is 2019-09-25.
Collier Health Services Inc's current location address is 1454 Madison Ave W, Immokalee, Florida. You can contact this provider via phone number 2396583000 and fax number 2396583175. The mailing address for Collier Health Services Inc is 1454 Madison Ave W, Immokalee, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Collier Health Services Inc |
|---|---|
| Address | 1454 Madison Ave W, Immokalee, Florida |
| Phone Number | 2396583000 |
| Fax Number | 2396583175 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Mota Connie |
| Telephone Number | 2396583707 |
NPI Number Detail
| NPI Number | 1053526962 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2019-09-25 |
Provider Mailing Address Detail
| Address | 1454 Madison Ave W |
|---|---|
| City | Immokalee |
| State | Florida (FL) |
| Post Code | 341422200 |
| Phone Number | 2396583000 |
| Fax Number | 2396583175 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 61426201 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Collier Health Services Inc?
The Collier Health Services Inc has been issued the NPI (National Provider Identifier) 1053526962 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Collier Health Services Inc is physically located?
The Collier Health Services Inc is physically situated at the following address: 1454 Madison Ave W, Immokalee, FL, 341422200.
What is the Collier Health Services Inc's area of specialization and corresponding taxonomy classification?
The Collier Health Services Inc's specialty field is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1053526962 to Collier Health Services Inc?
The Centers for Medicare & Medicaid Services assigned the 1053526962 to Collier Health Services Inc on 2007-05-14.
When was the information regarding Collier Health Services Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Collier Health Services Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-09-25.
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