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 220 Sw 2Nd St , Pompano Beach FL 33060-4611. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Banyan Community Health Center, Inc can be contacted via phone (954) 941-9828, or through Carrodeguas, Vincent via phone (305) 398-6100.

Contact Information

Primary practice address
220 Sw 2Nd St Pompano Beach FL 33060-4611
Phone: (954) 941-9828
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carrodeguas, Vincent
Phone: (305) 398-6100

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1710360482
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 Jul 28th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710360482 NPPES
Florida MEDICAID 012558510

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