Ronald Mcdonald Care Mobile | |
1454 Madison Ave W Immokalee FL 34142-2200 | |
(239) 658-3000 | |
(239) 658-3050 |
Full Name | Ronald Mcdonald Care Mobile |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1454 Madison Ave W, 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 |
---|---|
Ronald Mcdonald Care Mobile 1454 Madison Ave W Immokalee FL 34142-2200 Ph: (239) 658-3000 | Ronald Mcdonald Care Mobile 1454 Madison Ave W Immokalee FL 34142-2200 Ph: (239) 658-3000 |
NPI Number | 1861607772 |
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Provider Enumeration Date | 05/14/2007 |
Last Update Date | 01/19/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861607772 | NPI | - | NPPES |
683955006 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Golden Gate Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3000 Fax: 239-658-3175 | |
Healthcare Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3000 Fax: 239-658-3175 | |
Marion E Fether Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3064 Fax: 239-658-3175 | |
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 | |
Healthcare Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3000 Fax: 239-658-3175 | |
Marion E Fether Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3000 Fax: 239-658-3063 | |
Healthcare Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1441 Heritage Blvd, Immokalee, FL 34142 Phone: 239-658-3000 |