RONALD MCDONALD CARE MOBILE
NPI 1770798688
General Practice in Immokalee, FL

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

The NPI number for Collier Health Services Inc is 1770798688. It was assigned to this organization in the NPPES registry on May 14, 2007. The provider is doing business as Ronald Mcdonald Care Mobile.

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

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since May 14, 2007CLIA 10D1061628 · Waiver

1454 MADISON AVE W, IMMOKALEE, FL 34142(239) 658-3000(239) 658-3050 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 19, 2023, Feb 7, 2019, Jan 3, 2019 (3 updates tracked since 2019).

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About Ronald Mcdonald Care Mobile NPPES

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

RONALD MCDONALD CARE MOBILE (NPI 1770798688) is a healthcare organization registered as a general practice in Immokalee, Florida and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through November 21, 2026 and lists Tami Raznoff, Cfo, as its authorized official.

NPPES Registry Identity

NPI1770798688

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameCOLLIER HEALTH SERVICES INC

Location Address1454 MADISON AVE WImmokalee, FL 34142-2200

Mailing Address1454 Madison Ave WImmokalee, FL 34142-2200 · (239) 658-3000 · Fax (239) 658-3050

Phone(239) 658-3000

Fax(239) 658-3050

Organization SubpartNo

Authorized OfficialTami RaznoffCfo · (239) 986-0136

Enumeration DateMay 14, 2007

Last NPPES UpdateJanuary 19, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2023

✔ NPI 1770798688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1454 MADISON AVE W, Immokalee, FL 34142

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Other Names 1

Doing Business AsRonald Mcdonald Care Mobile

Other Identifiers 1

Medicaid683955007FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1061628

Ronald Mcdonald Care Mobile · Immokalee, FL

Active · expires Nov 21, 2026

CLIA Number10D1061628

Laboratory TypePhysician Office

Certificate Effective DateNovember 22, 2024

Certificate Expiration DateNovember 21, 2026

Laboratory DirectorDr. Elizabeth Orr

Laboratory Phone(239) 658-3000

Laboratory LocationRonald Mcdonald Care Mobile1454 Madison Ave W, Immokalee, FL 34142

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 4

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

Collier Health Services Inc

DMEPOS supplier · Immokalee, FL

⋮

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)20589293

Medicare Participant SinceFebruary 18, 2004

Supplier Location1454 Madison W AveImmokalee, FL 34142

Phone(239) 658-3062

Provider TypeAmbulatory Surgical Center

Supplier Specialties

Pharmacy

Medicare Product Categories

Nebulizer Drugs

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

Oral Antiemetic Drugs

FDA antiemetic drugs

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.

COLLIER HEALTH SERVICES INC

Dentist (Pediatric Dentistry)