FOUNTAIN IMAGING OF WEST PALM BEACH


Address: 5841 Corporate Way, Suite #101, West Palm Beach, FL 33407-2039
Phone: 5616887309

FOUNTAIN IMAGING OF WEST PALM BEACH (NPI# 1619033354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619033354
Entity Type Organization
Organization Name FOUNTAIN IMAGING OF WEST PALM BEACH
Other Organization Name FOUNTAIN IMAGING
Practice Address 5841 Corporate Way
Suite #101
West Palm Beach
FL 33407-2039
Practice Telephone 5616887309
Practice Fax Number 5616887310
Mailing Telephone 5616887309
Mailing Fax Number 5616887310
Enumeration Date 2006-12-28
Last Update Date 2020-08-22
Authorized Official Name KRISTI LYNN HEBERT (ADMINISTRATOR)
Authorized Official Telephone 5616887309
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1200X Clinic/Center
Specialization: Magnetic Resonance Imaging (MRI)
HCC4508 FL Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
FOUNTAIN IMAGING Doing Business As Name - Organization

Office Location

Street Address 5841 CORPORATE WAY
SUITE #101
City WEST PALM BEACH
State FL
Zip Code 33407-2039

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841297926 Ferd and Gladys Alpert Jewish Family & Childrens Svc of Plm Bch Counselor 5841 Corporate Way, Suite 200, West Palm Beach, FL 33407-2039 2005-07-05
1356782460 Karen Bress Phillips Social Worker 5841 Corporate Way, Suite 200, West Palm Beach, FL 33407-2039 2013-07-17
1205273703 Arielle Rose Burdo Psychologist 5841 Corporate Way, Suite 200, West Palm Beach, FL 33407-2039 2013-05-24
1336480342 Iris L Kiner Psychologist 5841 Corporate Way, Suite 200, West Palm Beach, FL 33407-2039 2013-03-15
1588974950 Alpert Jewish Family & Children Services, Inc Counselor 5841 Corporate Way, Suite 200, West Palm Beach, FL 33407-2039 2010-10-19
1275725939 Debra R Silver Nurse Practitioner 5841 Corporate Way, Suite 200, West Palm Beach, FL 33407-2039 2007-08-15
1548468861 Barbara J Kiner Social Worker 5841 Corporate Way, Suite 200, West Palm Beach, FL 33407-2039 2007-07-09
1619049590 Marcia Grobman Social Worker 5841 Corporate Way, Suite 200, West Palm Beach, FL 33407-2039 2006-11-15
1518048313 Jeffrey Kranzler Social Worker 5841 Corporate Way, Suite 200, West Palm Beach, FL 33407-2039 2006-10-18
1972618528 Spencer Kreger Psychiatry & Neurology 5841 Corporate Way, West Palm Beach, FL 33407 2006-08-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285252924 Tenet Florida Physician Services II, LLC Durable Medical Equipment & Medical Supplies 5352 Greenwood Ave, Ste 103, West Palm Beach, FL 33407 2020-07-09
1083248520 Robin Erickson, Ph.d., Inc. Clinic/Center 2151 45th St.# 200, West Palm Beach, FL 33407 2020-02-24
1487203428 Donmar Health Services, LLC Home Health 801 Northpoint Pkwy Ste 59, West Palm Beach, FL 33407 2019-09-11
1962064071 Sofia Thomas Nurse Practitioner 927 45th St Ste 102, Mangonia Park, FL 33407 2019-06-28
1093294803 Physical Therapy Now of Mangonia Park Clinic/Center 1748 45th St, West Palm Beach, FL 33407 2018-08-13
1437635943 Shanna Bhagan Physician Assistant 4500 N Flagler Dr Apt B16, West Palm Beach, FL 33407 2018-07-17
1942786637 Frantz Lamour Counselor 1233 45th Suite Suite A 7-8, West Palm Beach, FL 33407 2018-07-16
1013404706 Florida Medical Professionals LLC Hospitalist St. Mary's Medical Center 901 45th Street, West Palm Beach, FL 33407 2018-04-18
1265929012 Fantastic Wound Care LLC Registered Nurse 2580 Metrocentre Boulevard, Suite 5, West Palm Beach, FL 33407 2018-04-17
1225530140 South Florida Spinal Neurosurgery Associates LLC Neurological Surgery 5851 Corporate Way, West Palm Beach, FL 33407 2018-03-07
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Taxonomy Information

Taxonomy Code 261QM1200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Magnetic Resonance Imaging (MRI)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285882910 South Florida Mobile Open Mri, LLC Clinic/Center 4348 Forest Hill Blvd, West Palm Beach, FL 33406-5718 2008-09-06
1033112149 Medfund LLC Clinic/Center 1117 N Olive Ave, Ste 101, West Palm Beach, FL 33401-3520 2005-05-23
1437433935 Professional Diagnostic Reading Mri Inc Clinic/Center 2800 N Military Trl, Ste 108, West Palm Beach, FL 33409-2951 2011-10-03
1033357926 A1 Imaging of West Palm Beach LLC Clinic/Center 1117 N Olive Ave, Suite 101, West Palm Beach, FL 33401-3520 2009-01-30
1720247760 A1 Imaging of West Palm Beach LLC Clinic/Center 1117 N Olive Ave, Suite 101, West Palm Beach, FL 33401-3520 2008-06-05

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1932700176 Mri Associates of Crystal River Clinic/Center 6136 W Gulf To Lake Hwy, Crystal River, FL 34429-7558 2020-11-04
1477168714 Indago Imaging Clinic/Center 3716 W 12th Ave, Hialeah, FL 33012-4126 2020-09-14
1417577669 Ahc Diagnostic and Imaging Services Clinic/Center 8000 Sw 67th Avenue, Miami, FL 33143 2020-04-17
1548880784 Lee County Mri Inc Clinic/Center 2215 Winkler Ave Ste G, Fort Myers, FL 33901-9150 2020-04-17
1053942383 Musculoskeletal Institute Chartered Clinic/Center 2044 Trinity Oaks Blvd Ste 110, Trinity, FL 34655-4405 2020-01-27
1407497647 Proscan Imaging Naples LLC Clinic/Center 8340 Sierra Meadows Blvd Ste 103, Naples, FL 34113-7328 2019-09-30
1851940100 Express Medical Imaging, LLC Clinic/Center 6300 Saint Johns Ave, Palatka, FL 32177-3884 2019-09-10
1104478601 Flagler Mri Diagnostic Inc Clinic/Center 8000 W Flagler St Ste 102, Miami, FL 33144-2157 2019-07-15
1205497260 South Miami Open Mri LLC Clinic/Center 6161 Sunset Dr Ste A, South Miami, FL 33143-5045 2019-06-21
1215592829 Advance Scans & Imaging Center Inc. Clinic/Center 2453 N State Road 7, Lauderdale Lakes, FL 33313-3723 2019-05-08
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Competitor

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City WEST PALM BEACH
Zip Code 33407

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Dataset Information

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.

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