NPIMap

Organization Active NPI

Family Health Centers of Southwest Florida, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fort Myers, FL
National Provider Identifier
1356853154
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC.
Practice address
1926 Victoria Ave
Fort Myers, FL 33901-3414
Phone
(239) 278-3600
Fax
(239) 226-4650
NPI assigned
Nov 2, 2017
Last updated
May 18, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jorge QuinonezNPI 1578554218
Title
VP/Cmo
Phone
(239) 278-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1926 Victoria Ave
Fort Myers, FL 33901-3414

Mailing address

PO Box 919771
Orlando, FL 32891-9771
Phone (239) 278-3600

Other names 1

  • Ronald McDonald Care Mobile Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356853154. Details of each certification follow.

  • CCN 681119 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 681119

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 11, 2018
Last certification
Jan 11, 2018
Ownership / control type
For profit – corporation
Facility address
1926 Victoria Avenue
Fort Myers, FL 33901

National Provider Directory

National Provider Directory
Part of
Debra C Skinner MD

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1356853154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919771",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328919771",
            "telephone_number": "239-278-3600",
            "fax_number": "239-226-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 VICTORIA AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339013414",
            "telephone_number": "239-278-3600",
            "fax_number": "239-226-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC.",
        "enumeration_date": "2017-11-02",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "QUINONEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "VP/CMO",
        "authorized_official_telephone_number": "239-278-3600"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ronald McDonald Care Mobile",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.