NPIMap

Organization Active NPI

Florida Department of Health

Doing business as Collier County Health Department

  • Public Health or Welfare Agency
  • Naples, FL
National Provider Identifier
1558334367
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
FLORIDA DEPARTMENT OF HEALTH
Doing business as
Collier County Health Department
Practice address
3339 E Tamiami TRL Ste 145
Naples, FL 34112-5361
Phone
(239) 252-8200
Fax
(239) 252-2569
NPI assigned
Feb 10, 2006
Last updated
Jun 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Alan Portis
Title
Assistant CHD Administrator
Phone
(239) 252-8206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

3339 E Tamiami TRL Ste 145
Naples, FL 34112-5361

Mailing address

PO Box 429
Naples, FL 34106-0429
Phone (239) 252-8200

Other practice location 1

419 N 1st St
Immokalee, FL 34142-3150
Phone (239) 252-7300

Other identifiers 9

IdentifierTypeStateIssuer
027921801MedicaidFL
027921819MedicaidFL
027921815MedicaidFL
027921811MedicaidFL
027921800MedicaidFL
027921806MedicaidFL
027921807MedicaidFL
027921808MedicaidFL
99635OtherFLBCBSFL

Other names 1

  • Collier County Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041215000660 FL Part B Supplier - Clinic/Group Practice 3072424282 Receives reassigned benefits from 9 practitioners
Practice locations: Immokalee, FL; Naples, FL

National Provider Directory

National Provider Directory

Locations

419 N 1st St
Immokalee, FL 34142
Phone (239) 252-2697

3339 Tamiami Trl E
Ste 145
Naples, FL 34112
Phone (239) 252-2697

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Walton Community Health CenterDefuniak Springs, FL, CCN 101136 Federally qualified health center Operational/Managerial Control (100%) Sep 7, 2010
Bradford Community Health Care IncStarke, FL, CCN 101182 Federally qualified health center Operational/Managerial Control (100%) Oct 1, 2013

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1558334367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341060429",
            "telephone_number": "239-252-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3339 E TAMIAMI TRL STE 145",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341125361",
            "telephone_number": "239-252-8200",
            "fax_number": "239-252-2569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 N 1st St",
            "address_purpose": "LOCATION",
            "city": "Immokalee",
            "state": "FL",
            "postal_code": "341423150",
            "country_code": "US",
            "telephone_number": "239-252-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "PORTIS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "ASSISTANT CHD ADMINISTRATOR",
        "authorized_official_telephone_number": "239-252-8206"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027921801",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027921819",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027921815",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027921811",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027921800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027921806",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027921807",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027921808",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "99635",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collier County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Collier County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.