| Healthcare Network | |
|
508 N 9th St Suite 142 Immokalee FL 34142-3146 | |
| (239) 658-3000 | |
| (239) 657-1612 |
| Full Name | Healthcare Network |
|---|---|
| Speciality | Clinic/Center |
| Location | 508 N 9th St, Immokalee, Florida |
| Authorized Official Name and Position | Tami Raznoff (CFO) |
| Authorized Official Contact | 2399860136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthcare Network 1454 Madison Ave W Immokalee FL 34142-2200 Ph: (239) 658-3000 | Healthcare Network 508 N 9th St Suite 142 Immokalee FL 34142-3146 Ph: (239) 658-3000 |
| NPI Number | 1508079245 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 10/16/2024 |
| Medicare PECOS PAC ID | 4183521925 |
|---|---|
| Medicare Enrollment ID | O20080805000596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508079245 | NPI | - | NPPES |
| 029152810 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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