BONITA COMMUNITY HEALTH – NPI #1922096999
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

BONITA COMMUNITY HEALTH is a provider located in BONITA SPRINGS, FL. NPPES has assigned the NPI number 1922096999 to BONITA COMMUNITY HEALTH on October 12, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BONITA COMMUNITY HEALTH” is a dba name, the actual legal business name for this organization is BONITA COMMUNITY HEALTH CENTER INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 18 years ago on Apr 03, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BONITA COMMUNITY HEALTH below.

NPI Profile for
BONITA COMMUNITY HEALTH CENTER INC

NPI Number
1922096999
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BONITA COMMUNITY HEALTH CENTER INC
Doing Business As (dba): BONITA COMMUNITY HEALTH
Primary location
3501 HEALTH CENTER BLVD
BONITA SPRINGS, FL 34135-8127
Phone: (239) 949-1050 Fax: (239) 949-6111
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MIKE RILEY
CEO
Phone: (239) 949-6115
Updated
Identifiers

Identifiers for BONITA COMMUNITY HEALTH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERAETNAFL925030
OTHERAVMEDFL274894
OTHERBCBS FLORIDAFL45737
MEDICAIDFL2728516 00
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
2085R0202X
- Radiology / Diagnostic Radiology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.