Bonita Springs Health Center

LBN: Bonita Community Health Center Inc
Bonita Springs Health Center is an health care organization with primary practice located at 3501 Health Center Blvd , Bonita Springs FL 34135-8127. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Bonita Community Health Center Inc can be contacted via phone (239) 949-1050, or through Riley, Mike via phone (239) 949-1050.

Contact Information

Primary practice address
3501 Health Center Blvd Bonita Springs FL 34135-8127
Phone: (239) 949-1050
Fax: (239) 949-6111
Website:
Map and Directions
Authorized official contact:
Name: Riley, Mike
Phone: (239) 949-1050

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 1116 Florida

Profile Details

NPI number 1518955897
LBN Legal business name Bonita Community Health Center Inc
DBA Doing business as Bonita Springs Health Center
Authorized official Riley, Mike
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2005
Last updated Mar 13th, 2008 - about 16 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 1518955897 NPPES
Florida Other 69C BCBS OF FLORIDA
Florida MEDICAID 075967800 BCBS OF FLORIDA

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