Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MEDERI OF COLLIER COUNTY, INC.
Active
Organization
MEDERI OF COLLIER COUNTY, INC.
Active
Other names
Mederi of Port Charlotte
Organization subpart
No
Provider details
NPI number
Authorized official
MR. C. STEVEN GUENTHNER (SR VP, CFO)
(502) 891-1000
Entity
Organization
Contact information
Practice address
2509 RIO DE JANEIRO AVE, SUITE 1, PUNTA GORDA, FL 33983-8667
(941) 764-7555
(941) 764-9533
Mailing address
9510 ORMSBY STATION RD, SUITE 300, LOUISVILLE, KY 40223-4081
(502) 891-1000
(502) 891-8067
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
21996096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J9I
BLUE CROSS-BLUE SHIELD
FL
Enumeration date
09/26/2005
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up