| Banyan Community Health Center, Inc | |
|
4900 W Oakland Park Blvd Ste 101 Lauderdale Lakes FL 33313-1555 | |
| (305) 398-6100 | |
| Not Available |
| Full Name | Banyan Community Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4900 W Oakland Park Blvd Ste 101, Lauderdale Lakes, Florida |
| Authorized Official Name and Position | Vincent Carrodeguas (CEO) |
| Authorized Official Contact | 3053986100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Banyan Community Health Center, Inc 6100 Blue Lagoon Dr Miami FL 33126-2079 Ph: (305) 398-6117 | Banyan Community Health Center, Inc 4900 W Oakland Park Blvd Ste 101 Lauderdale Lakes FL 33313-1555 Ph: (305) 398-6100 |
| NPI Number | 1972979631 |
|---|---|
| Provider Enumeration Date | 08/18/2015 |
| Last Update Date | 01/21/2023 |
| Certification Date | 01/21/2023 |
| Medicare PECOS PAC ID | 0547410011 |
|---|---|
| Medicare Enrollment ID | O20230713000840 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972979631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Steward Medical Group, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4900 W Oakland Park Blvd Ste 101, Lauderdale Lakes, FL 33313 Phone: 954-472-1322 | |
Osborne Legal Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3500 N State Road 7 Ste 200, Lauderdale Lakes, FL 33319 Phone: 954-274-5448 Fax: 954-484-1216 | |
Florida Medical Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313 Phone: 954-735-6000 | |
Gothrig Healthcare Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2331 N State Road 7 Ste 207, Lauderdale Lakes, FL 33313 Phone: 954-530-6558 Fax: 954-769-1576 | |
Floridas Treatment Center Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4850 W Oakland Park Blvd Ste 102, Lauderdale Lakes, FL 33313 Phone: 954-380-0714 Fax: 877-977-5142 | |
Alina Health Medical Center Corp. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4800 N State Road 7 Ste A, Lauderdale Lakes, FL 33319 Phone: 954-884-5859 | |
Rainbow Behavior Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3001 Nw 49th Ave Ste 203, Lauderdale Lakes, FL 33313 Phone: 786-724-6015 |