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Contact Information

BOND COMMUNITY HEALTH CENTER
2729-8 MUNICIPAL WAY
KAY FREEMAN HEALTH CENTER
TALLAHASSEE, FL32304
 Phone: 850-576-4073
 Fax: 850-576-0151
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Psychiatric/Mental Health, Adult

364SP0809X 89 Certified Clinical Nurse Specialist
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for BOND COMMUNITY HEALTH CENTER

NPI # 1639309842
LBN Legal business name BOND COMMUNITY HEALTH CENTER
Authorized official JOHN GRAYSON - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/22/2009
Last updated 01/19/2017 - About 9 years ago
Identifiers
FL License # ARNP1727122
FL License # ARNP3353752
FL License # ME101353
FL License # ME76689
FL License # ME80809
FL License # OS8157
FL Medicaid 060551401
FL Medicaid 060551402
FL Other 060551400 MEDICAID FFS
FL Other 101909 MEDICARE FQHC
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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