COLLIER HEALTH SERVICES INC (NPI# 1508079245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508079245 |
| Entity Type | Organization |
| Organization Name | COLLIER HEALTH SERVICES INC |
| Other Organization Name | IMMOKALEE FAMILY CARE CENTER |
| Practice Address |
508 N 9th St Suite 142 Immokalee FL 34142-3146 |
| Practice Telephone | 2396576363 |
| Practice Fax Number | 2396571612 |
| Mailing Telephone | 2396576363 |
| Mailing Fax Number | 2396571612 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2013-04-03 |
| Authorized Official Name | SANDRA E STEELE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2396583003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 029152810 | 05 |
| Other Name | Type Code |
|---|---|
| Immokalee Family Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073707741 | Collier Health Services Inc | Clinic/Center | 1749 Heritage Trl # 801, Naples, FL 34112-7591 | 2007-09-05 |
| 1952516866 | Collier Health Services Inc | Dentist | 5038 Coronado Pkwy, Naples, FL 34116-6950 | 2007-05-14 |
| 1851505200 | Collier Health Services Inc | Clinic/Center | 6350 Davis Blvd # 1001, Naples, FL 34104-5323 | 2007-05-09 |
| 1528271012 | Collier Health Services Inc | Clinic/Center | 12655 Collier Blvd, Naples, FL 34116-4005 | 2007-05-08 |
| 1679124010 | Collier Health Services Inc | General Practice | 12655 Collier Blvd, Naples, FL 34116-4005 | 2019-09-26 |
| 1174174783 | Collier Health Services Inc | Clinic/Center | 12655 Collier Blvd, Naples, FL 34116-4005 | 2019-09-25 |
| 1972158632 | Collier Health Services Inc | Pharmacy | 12655 Collier Blvd, Naples, FL 34116 | 2019-08-08 |
| 1063793214 | Collier Health Services Inc | Family Medicine | 1284 Creekside St, Suite #101, Naples, FL 34108-1949 | 2011-09-01 |
| 1376823922 | Collier Health Services Inc | Clinic/Center | 1284 Creekside St, Suite #101, Naples, FL 34108-1949 | 2011-08-26 |
| 1508017872 | Collier Health Services Inc | Clinic/Center | 7007 Lely Cultural Pkwy, Edison College Building L, Naples, FL 34113-8976 | 2008-10-06 |
| Street Address |
508 N 9TH ST SUITE 142 |
| City | IMMOKALEE |
| State | FL |
| Zip Code | 34142-3146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841541091 | Paulette Vicario Ramsey | Nurse Practitioner | 508 N 9th St, Immokalee, FL 34142-3146 | 2012-09-27 |
| 1588879498 | Collier Health Services Inc | Family Medicine | 508 N 9th St, Immokalee, FL 34142-3146 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619432622 | Gabriels House of Care Fl. LLC | Acupuncturist | 212 South First St., Immokalee, FL 34142 | 2019-02-04 |
| 1851662472 | Seminole Tribe of Florida | Clinic/Center | 1120 S. First Street, Immokalee, FL 34142 | 2012-01-13 |
| 1881849826 | Michael Kane | Dentist | 1013 W. Main St., Unit 6a, Immokalee, FL 34142 | 2008-11-18 |
| 1699870485 | Jane J Darien | Social Worker | 425 North First St, Immokalee, FL 34142 | 2006-09-14 |
| 1659873891 | Dayna Sue Shull | Specialist/Technologist | 5050 Ave Maria Blvd, Ave Maria, FL 34142 | 2018-03-04 |
| 1457881922 | Immokalee Dental P.a. | Dentist | 1013 W. Main St., Unit 6a, Immokalee, FL 34142 | 2017-06-15 |
| 1063687838 | Alexandra Bianca Sarac | Pediatrics | 1441 Heritage Blvd, Immokalee, FL 34142 | 2008-04-23 |
| 1942391099 | Shameem Tamton | Pediatrics | 1454 Madison Ave W, Immokalee, FL 34142 | 2006-09-27 |
| 1215262977 | Mid State Mental Health Assessment Inc | Psychologist | 7052 Annunciation Circle, Suite 329, Ave Maria, FL 34142-0000 | 2009-10-13 |
| 1194343194 | Laury Garcia | Social Worker | 3511 Carson Lakes Cir, Immokalee, FL 34142-2092 | 2020-07-07 |
| Find all providers in zip 34142 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588026397 | Collier Health Services, Inc | Clinic/Center | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2016-03-22 |
| 1003065723 | Collier Health Services Inc | Clinic/Center | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2008-09-18 |
| 1073792297 | Collier Health Services Inc | Clinic/Center | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2007-10-25 |
| 1194919993 | Collier Health Services Inc | Clinic/Center | 1441 Heritage Blvd, Immokalee, FL 34142-2260 | 2007-09-05 |
| 1043425952 | Collier Health Services Inc | Clinic/Center | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2007-05-14 |
| 1861607772 | Collier Health Services Inc | Clinic/Center | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2007-05-14 |
| 1053526962 | Collier Health Services Inc | Clinic/Center | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2007-05-14 |
| 1134331416 | Collier Health Services Inc | Clinic/Center | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2007-05-07 |
| 1609827211 | Collier Health Services Inc | Clinic/Center | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2006-05-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.