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 4900 W Oakland Park Blvd Ste 101 , Lauderdale Lakes FL 33313-1555. The organization recently has only one registered license in Agencies / Case Management, which is considered as 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
4900 W Oakland Park Blvd Ste 101 Lauderdale Lakes FL 33313-1555
Phone: (305) 398-6100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carrodeguas, Vincent
Phone: (305) 398-6100

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1932872637
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 Jul 28th, 2021
Last updated Jan 21st, 2023 - about last year

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 1932872637 NPPES
Florida MEDICAID 014042600

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