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 10720 Caribbean Blvd Suite 420, Cutler Bay FL 33189-1218. 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 (786) 293-9544, or through Carrodeguas, Vincent via phone (305) 398-6100.
Contact Information
Primary practice address
10720 Caribbean Blvd Suite 420
Cutler Bay FL 33189-1218
Phone: (786) 293-9544
Fax:
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 | 1205219003 |
|---|---|
| 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 | Jun 30th, 2015 |
| 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 | 1205219003 | NPPES |
| Florida | MEDICAID | 012558504 | |
| Florida | MEDICAID | 013881908 |
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