| Collier Health Services Inc | |
|
1454 Madison Ave W Immokalee FL 34142-2200 | |
| (239) 658-3000 | |
| (239) 658-3063 |
| Full Name | Collier Health Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1454 Madison Ave W, Immokalee, Florida |
| Authorized Official Name and Position | Sandra E Steele-riordan (CFO) |
| Authorized Official Contact | 2396583003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collier Health Services Inc 1454 Madison Ave W Immokalee FL 34142-2200 Ph: (239) 658-3000 | Collier Health Services Inc 1454 Madison Ave W Immokalee FL 34142-2200 Ph: (239) 658-3000 |
| NPI Number | 1184707689 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 4183521925 |
|---|---|
| Medicare Enrollment ID | O20100930068558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184707689 | NPI | - | NPPES |
| 5133530001 | Other | FL | DME MEDICARE |
| 102892801 | Medicaid | FL | |
| 1031563 | Other | FL | NABP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | PH6822 (Florida) | Primary |
Collier Health Services Inc 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: 239-658-3175 | |
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: 239-658-3175 | |
Collier Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3064 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 | |
Collier Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1454 Madison Ave W Unit 3, Immokalee, FL 34142 Phone: 239-658-3000 | |
Collier Health Services Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3000 Fax: 239-658-3175 |