| Collier Health Services Inc | |
|
1454 Madison Ave W Unit 3 Immokalee FL 34142-2200 | |
| (239) 658-3000 | |
| Not Available |
| Full Name | Collier Health Services Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1454 Madison Ave W Unit 3, Immokalee, Florida |
| Authorized Official Name and Position | Tami Raznoff (CFO) |
| Authorized Official Contact | 2399860136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collier Health Services Inc 1454 Madison Ave W Immokalee FL 34142-2200 Ph: (239) 658-3000 | Collier Health Services Inc 1454 Madison Ave W Unit 3 Immokalee FL 34142-2200 Ph: (239) 658-3000 |
| NPI Number | 1538976006 |
|---|---|
| Provider Enumeration Date | 12/17/2024 |
| Last Update Date | 12/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538976006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Collier Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3000 Fax: 239-932-6935 | |
Collier Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1454 Madison Ave W Unit 3, Immokalee, FL 34142 Phone: 239-658-3000 | |