Organization
COLLIER HEALTH SERVICES INC
Active
Other names
Marion E Fether Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA E STEELE-RIORDAN (CFO)
(239) 658-3003
Entity
Organization
Contact information
Practice address
1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
(239) 658-3000
(239) 658-3063
Mailing address
1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
(239) 658-3000
(239) 658-3063
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
PH6822
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102892801
—
FL
01
—
1031563
NABP
FL
01
—
5133530001
DME MEDICARE
FL
Enumeration date
10/20/2006
Last updated
03/07/2023
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