Organization
COLLIER HEALTH SERVICES INC
Active
Other names
Marion E Fether Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON ARAGONA (VICE PRESIDENT)
(239) 658-3035
Entity
Organization
Contact information
Practice address
1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
(239) 658-3064
(239) 658-3175
Mailing address
1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
(239) 658-3064
(239) 658-3175
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101901
MEDICARE FQHC PROVIDER NO
FL
Enumeration date
10/25/2007
Last updated
02/14/2008
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