Collier Health Services, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Immokalee, FL
NPI 1588026397 · NPPES record last updated Jan 19, 2023
Key facts
- NPI
- 1588026397
- 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
- NPI assigned
- Mar 22, 2016
- Organization subpart
- No
Authorized official
- Name
- Tami Raznoff
- Title
- Cfo
- Phone
- (239) 986-0136
Corporate family (same tax ID) 24
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 names
- Health and Smiles
Other providers in Immokalee, FL
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- Collier Health Services, Inc
- Collier Health Services, Inc
- Community Medical Care Center
- Core Health Partners LLC
- Counseling for Community Wellness Inc.
- Rodni N Cruz
- Jane J Darien
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 Jan 19, 2023. 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.