Collier Health Services Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Immokalee, FL
NPI 1043425952 · NPPES record last updated Dec 20, 2011
Key facts
- NPI
- 1043425952
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- COLLIER HEALTH SERVICES INC
- Practice address
- 1454 Madison Ave W
Immokalee, FL 34142-2200 - Phone
- (239) 658-3000
- Fax
- (239) 658-3175
- NPI assigned
- May 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Sandra E Steele
- Title
- Chief Financial Officer
- Phone
- (239) 658-3003
Corporate family (same tax ID) 13
National Provider Directory
- Tax ID family
- Collier Health Services Central Naples Pediatrics
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
1454 Madison Ave W
Immokalee, FL 34142-2200
Mailing address
1454 Madison Ave W
Immokalee, FL 34142-2200
Phone (239) 658-3000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 683955000 | Medicaid | FL |
Other names
- Golden Gate Dental
Other providers in Immokalee, FL
- Julio C Casas
- Molly Bowman Coates
- Carlos Collazo III
- Belinda A.L. Collias
- Collier Health Services Inc
- Collier Health Services Inc
- Collier Health Services Inc
- Collier Health Services Inc
- Collier Health Services Inc
- Collier Health Services Inc
All providers in Immokalee, FL · Federally Qualified Health Center (FQHC) in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.