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Collier Health Services Inc
Federally Qualified Health Center (FQHC) in Immokalee, Florida
NPI 1073792297

Collier Health Services Inc is a Federally Qualified Health Center (FQHC) based in Immokalee, FL and is specialized in Federally Qualified Health Center (FQHC). Collier Health Services Inc practices in Immokalee, FL. The NPI Number for Collier Health Services Inc is 1073792297 and holds a License No. (Florida).

The current practice location address for Collier Health Services Inc is 1454 Madison Ave W, Immokalee, FL and can be reached out via phone at 239-658-3064 and via fax at 239-658-3175.

Location: 1454 Madison Ave W, Immokalee, FL, 34142-2200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073792297
Provider Name
Collier Health Services Inc
Credential
Provider Entity Type
Organization
Address
1454 Madison Ave W, Immokalee, FL, 34142-2200
Phone Number
239-658-3064
Fax Number
239-658-3175
Provider Enumeration Date
10/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101901 01 FL MEDICARE FQHC PROVIDER NO
institution
Provider Business Practice Location Address Details
Address
1454 Madison Ave W
City
Immokalee
State
Florida
Zip
34142-2200
Phone Number
239-658-3064
Fax Number
239-658-3175
person
Provider Business Mailing Address Details
Address
1454 Madison Ave W
City
Immokalee
State
Florida
Zip
34142-2200
Phone Number
239-658-3064
Fax Number
239-658-3175
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
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Definition
Definition to come...
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