Bonita Community Health

LBN: Bonita Community Health Center Inc
Bonita Community Health is an health care organization with primary practice located at 3501 Health Center Blvd , Bonita Springs FL 34135-8127. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is 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) 949-6115.

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) 949-6115

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1922096999
LBN Legal business name Bonita Community Health Center Inc
DBA Doing business as Bonita Community Health
Authorized official Riley, Mike
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2005
Last updated Apr 3rd, 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 1922096999 NPPES
Florida MEDICAID 2728516 00
Florida Other 274894
Florida Other 45737
Florida Other 925030

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