Banyan Community Health Center, Inc
LBN: Banyan Community Health Center, Inc
Banyan Community Health Center, Inc is an health care organization with primary practice located at 3733 W Flagler St , Coral Gables FL 33134-1601. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Banyan Community Health Center, Inc can be contacted via phone (305) 398-6100, or through Carrodeguas, Vincent via phone (305) 398-6100.
Contact Information
Primary practice address
3733 W Flagler St
Coral Gables FL 33134-1601
Phone: (305) 398-6100
Fax: (305) 398-6099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1104247188 |
|---|---|
| LBN Legal business name | Banyan Community Health Center, Inc |
| DBA Doing business as | |
| Authorized official | Carrodeguas, Vincent |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 18th, 2013 |
| Last updated | Apr 18th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104247188 | NPPES |
| Florida | MEDICAID | 013881900 | |
| Florida | MEDICAID | 013881911 | |
| Florida | MEDICAID | 013881901 |
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