Bonita Community Health Center Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BONITA COMMUNITY HEALTH CENTER INC

Doing business as

BONITA COMMUNITY HEALTH

Practice address

3501 Health Center Blvd
Bonita Springs, FL 34135-8127

Phone

(239) 949-1050

Fax

(239) 949-6111

NPI assigned

Oct 12, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Mike Riley

Title

Ceo

Phone

(239) 949-6115

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• BONITA COMMUNITY HEALTH Doing business as

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Lee Memorial Health System

  • General Practice Physician
  • Cape Coral, FL
  • NPI 1902379209

  Member Of

  NPD member
• Naples Community Hospital Inc

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1720085137

  Member Of

  NPD member

Networks

• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1922096999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 HEALTH CENTER BLVD",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341358127",
            "telephone_number": "239-949-1050",
            "fax_number": "239-949-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 HEALTH CENTER BLVD",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341358127",
            "telephone_number": "239-949-1050",
            "fax_number": "239-949-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONITA COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-949-6115",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2728516 00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "274894",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "45737",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "925030",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BONITA COMMUNITY HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roger Bohn, D.C.
• Chabely Bolet Reyes
• Bonita Beach Chiropractic, LLC
• Bonita Beach Medical Group LLC
• Bonita Community Health Center Inc
• Bonita Dental Care, PA
• Bonita Dental Care,PA
• Bonita Dermatology, P.a.
• Bonita Endodontic Associates, PLLC
• Bonita Family Care, Inc

• General Practice Physician in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.