BOND COMMUNITY HEALTH CENTER (NPI# 1407109812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407109812 |
Entity Type | Organization |
Organization Name | BOND COMMUNITY HEALTH CENTER |
Other Organization Name | BOND SPECIALTY AND WELLNESS CENTER |
Practice Address |
1549 South Monroe Street Bond Speciality and Wellness Tallahassee FL 32301 |
Mailing Address |
1720 South Gadsden St Bond Community Health Center Tallahassee FL 32301-5506 |
Practice Telephone | 8505764073 |
Practice Fax Number | 8505760151 |
Mailing Telephone | 8505764073 |
Mailing Fax Number | 8505770675 |
Enumeration Date | 2012-10-23 |
Last Update Date | 2016-11-16 |
Authorized Official Name | JOHN M GRAYSON (CFO) |
Authorized Official Telephone | 8505764073 |
Is Organization Subpart | Y |
Parent Organization Name | BOND COMMUNITY HEALTH CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | ME80809 | FL | Allopathic & Osteopathic Physicians |
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
ME76689 | FL | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Bond Specialty and Wellness Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639309842 | Bond Community Health Center | Internal Medicine | 2729-8 Municipal Way, Kay Freeman Health Center, Tallahassee, FL 32304 | 2009-07-22 |
1538399118 | Bond Community Health Center | Internal Medicine | 2634 Capital Cir Ne, Building J, Tallahassee, FL 32308-4106 | 2009-07-17 |
Street Address |
1549 SOUTH MONROE STREET BOND SPECIALITY AND WELLNESS |
City | TALLAHASSEE |
State | FL |
Zip Code | 32301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790386092 | Rebecca Klein | Behavior Technician | 2331 Hansen Court Tallahassee, Fl 32301, Tallahassee, FL 32301 | 2020-11-03 |
1093314692 | Rothschild Counseling and Consulting, LLC | Marriage & Family Therapist | 820 E. Park Ave, Suite F 100, Tallahassee, FL 32301 | 2020-10-23 |
1871192070 | Layata Shaundria Twitty-kiser | Licensed Practical Nurse | 2521 Spring Forest Road, Tallahassee, FL 32301 | 2020-10-20 |
1457967093 | Tahlah Austin | Behavior Technician | 113 South Monroe Street 1st Floor, Tallahassee, FL 32301 | 2020-09-18 |
1972133288 | Mary Lyn Norman | Marriage & Family Therapist | 119 Cadiz Street, #107, Tallahassee, FL 32301 | 2020-01-26 |
1285270520 | Norine Cardea | Counselor | The Healing Center, 847 East Park Avenue, Tallahassee, FL 32301 | 2019-11-21 |
1629635560 | Lily Ramey | Behavior Technician | 3010 Highland Oaks Ter, Tallahassee, FL 32301 | 2019-05-27 |
1861981052 | Mission of Hope of Tall Inc | Nurse's Aide | 1541 Glenway Dr, Tallahassee, FL 32301 | 2018-05-03 |
1770084824 | Bond Community Health Center, Inc. | Family Medicine | 2200 South Monroe, Tallahassee, FL 32301 | 2018-02-23 |
1356849236 | Amanda Mcglone | Developmental Therapist | 3010 Highland Oaks Terr, Tallahassee, FL 32301 | 2018-01-25 |
Find all providers in zip 32301 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447470836 | Hui-hung Wang | Family Medicine | 2530 Capital Cir Ne, Tallahassee, FL 32308-4104 | 2007-04-26 |
1720623036 | Kevan Michael Poley | Family Medicine | 1845 Jaclif Ct, Tallahassee, FL 32308-4430 | 2019-11-11 |
1851402986 | Andrew M. Scanameo | Family Medicine | 2565 Capital Medical Blvd, Tallahassee, FL 32308 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811598105 | Foundations Medical Center Pllc | Family Medicine | 4467 Commons Dr W Ste F-g, Destin, FL 32541-8454 | 2020-11-04 |
1831704345 | Vasundhara Kuchibhotla | Family Medicine | 1630 Sw 75th Ter, Gainesville, FL 32607-6604 | 2020-09-11 |
1356952170 | Discreet Health Solutions, LLC | Family Medicine | 7124 Pelican Island Dr, Tampa, FL 33634-7463 | 2020-08-14 |
1033728019 | Nana Aisha Garba | Family Medicine | 11200 Sw 8th St Ahc2 Rm 589b, Miami, FL 33199-0001 | 2020-07-27 |
1043838451 | Lisa M Parker | Family Medicine | 7955 Bay St Ste 2, Sebastian, FL 32958-3282 | 2020-07-13 |
1699390336 | Rosenie B Jasmin | Family Medicine | Dove Medical Centers, LLC, 2901 West Oakland Park Blvd Ste A4-5, Oakland Park, FL 33311 | 2020-06-09 |
1588287239 | Sarai L Gonzalez | Family Medicine | 16182 Nw 21st St, Pembroke Pines, FL 33028-1255 | 2020-05-28 |
1184247033 | Wellness Solutions 2020 LLC | Family Medicine | 2300 N Commerce Pkwy Ste 321, Weston, FL 33326-3257 | 2020-05-27 |
1780207910 | Homeville Medical Care | Family Medicine | 11040 Nw 18th Ct, Plantation, FL 33322-3407 | 2020-05-21 |
1942829536 | Health Medical Ultra Limited Liability Company | Family Medicine | 1760 Havendale Blvd Nw, Winter Haven, FL 33881-1224 | 2020-04-13 |
Find all providers with the same taxonomy |
City | TALLAHASSEE |
Zip Code | 32301 |
Please comment or provide details below to improve the information on BOND COMMUNITY HEALTH CENTER.
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.