THE MIKE DAVIS MEDICAL CENTER
NPI 1417161852
Clinic/Center - Federally Qualified Health Center (FQHC) in Naples, FL

Q: What is Collier Health Services Inc's NPI number?

The NPI number for Collier Health Services Inc is 1417161852. It was assigned to this organization in the NPPES registry on May 9, 2007. The provider is doing business as The Mike Davis Medical Center and Healthcare Network.

Q: What is Collier Health Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since May 09, 2007

12655 COLLIER BLVD, NAPLES, FL 34116(239) 658-3000 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About The Mike Davis Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE MIKE DAVIS MEDICAL CENTER (NPI 1417161852) is a healthcare organization registered as a federally qualified health center (fqhc) in Naples, Florida and active in the NPI registry since May 2007. The organization maintains a secondary practice location in Naples and lists Tami Raznoff, Cfo, as its authorized official.

NPPES Registry Identity

NPI1417161852

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCOLLIER HEALTH SERVICES INC

Location Address12655 COLLIER BLVDNaples, FL 34116-4005

Mailing Address1454 Madison Ave WImmokalee, FL 34142-2200 · (239) 658-3707

Phone(239) 658-3000

Organization SubpartNo

Authorized OfficialTami RaznoffCfo · (239) 658-3707

Enumeration DateMay 9, 2007

Last NPPES UpdateApril 27, 2020

NPPES CertifiedApril 27, 2020

✔ NPI 1417161852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

12655 COLLIER BLVD, Naples, FL 34116

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Other Names 2

Doing Business AsThe Mike Davis Medical Center

Doing Business AsHealthcare Network

Secondary Practice Location 1

Location 11755 Heritage Trl, Suite 604Naples, FL 34112-7591 · Phone (239) 353-4101 · Fax (239) 353-4231

Other Identifiers 1

Medicaid683955003FL

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Collier Health Services, Inc carries, from the Medicare DMEPOS supplier directory.

Collier Health Services, Inc

DMEPOS supplier · Naples, FL

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Does not accept Medicare assignment

Collier Health Services, Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)24546924

Medicare Participant SinceFebruary 18, 2004

Supplier Location12655 Collier BlvdNaples, FL 34116

Phone(239) 652-9000

Supplier Specialties

Pharmacy

Medicare Product Categories

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Nebulizer Equipment and/or Supplies

Nebulizers, Atomizers, Filters

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIA MARY DEAN CNM

Advanced Practice Midwife