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Organization

BOND COMMUNITY HEALTH CENTER

Active
Parent organization
BOND COMMUNITY HEALTH CENTER
Other names
APALACHEE CENTER, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
BOND COMMUNITY HEALTH CENTER
Authorized official
JUNIOR R RICHARDS (CEO)
(850) 576-4073
Entity
Organization

Contact information

Practice address
2634 CAPITAL CIR NE, BUILDING J, TALLAHASSEE, FL 32308-4106
(850) 523-3333
Mailing address
1720 S GADSDEN ST, TALLAHASSEE, FL 32301-5506
(850) 576-4073

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME76689
FL
207R00000X
Internal Medicine Physician
ME80809
FL
208000000X
Pediatrics Physician
ME93798
FL
2084P0800X
Psychiatry Physician
ME 101353
FL
208D00000X
General Practice Physician
OS 8157
FL
363AM0700X
Medical Physician Assistant
PA0101781
FL
363LA2200X
Adult Health Nurse Practitioner
ARNP3172982
FL
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
ARNP1727122
FL
367A00000X
Advanced Practice Midwife
ARNP1592962
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060551400
MEDICAID FFS
FL
05
060551401
FL
05
060551402
FL
01
060551403
MEDICAID FFS
FL
01
101909
MEDICARE FQHC
FL
Enumeration date
07/17/2009
Last updated
07/17/2009
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