Organization
BOND COMMUNITY HEALTH CENTER
Active
Parent organization
BOND COMMUNITY HEALTH CENTER, INC.
Other names
Kay Freeman Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOND COMMUNITY HEALTH CENTER, INC.
Authorized official
MR. JOHN M. GRAYSON (CFO)
(850) 576-4073
Entity
Organization
Contact information
Practice address
2729-8 MUNICIPAL WAY, KAY FREEMAN HEALTH CENTER, TALLAHASSEE, FL 32304
(850) 576-4073
(850) 576-0151
Mailing address
1720 SOUTH GADSDEN ST., TALLAHASSEE, FL 32301
(850) 576-4073
(850) 577-0675
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME76689
FL
207R00000X
Internal Medicine Physician
ME80809
FL
2084P0800X
Psychiatry Physician
ME101353
FL
208D00000X
General Practice Physician
OS8157
FL
363LA2200X
Adult Health Nurse Practitioner
ARNP3353752
FL
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
ARNP1727122
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060551400
MEDICAID FFS
FL
05
—
060551401
—
FL
05
—
060551402
—
FL
01
—
101909
MEDICARE FQHC
FL
Enumeration date
07/22/2009
Last updated
01/19/2017
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