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BANYAN COMMUNITY HEALTH CENTER, INC.
NPI 1972979631
Clinic/Center - Federally Qualified Health Center (FQHC) in Lauderdale Lakes, FL

Active since August 18, 2015
4900 W OAKLAND PARK BLVD FL 3, LAUDERDALE LAKES, FL 33313(305) 398-6100 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 21, 2023, Jul 28, 2021 (2 updates tracked since 2021).

About Banyan Community Health Center, Inc. NPPES

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

BANYAN COMMUNITY HEALTH CENTER, INC. (NPI 1972979631) is a healthcare organization registered as a federally qualified health center (fqhc) in Lauderdale Lakes, Florida and active in the NPI registry since August 2015. The organization lists Manuel Andres Fernandez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972979631
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBANYAN COMMUNITY HEALTH CENTER, INC.
Location Address4900 W OAKLAND PARK BLVD FL 3Lauderdale Lakes, FL 33313-7500
Mailing Address2300 Nw 89th Pl Fl 3Doral, FL 33172-2431 · (305) 398-6100
Phone(305) 398-6100
Organization SubpartNo
Authorized OfficialManuel Andres FernandezCeo · (561) 213-9211
Enumeration DateAugust 18, 2015
Last NPPES UpdateApril 15, 20252 updates tracked since enumeration
NPPES CertifiedApril 15, 2025
✔ NPI 1972979631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
4900 W OAKLAND PARK BLVD FL 3, Lauderdale Lakes, FL 33313
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Other Identifiers 3

Medicaid013881915FL
Medicaid013881916FL
Medicaid014042500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

LYNDA ODERA APRN
Nurse Practitioner (Family)
4900 W OAKLAND PARK BLVD FL 3
LAUDERDALE LAKES, FL 33313
Broward County (305) 398-6100
MISS SHOSHANA DAHAN LCSW
Social Worker (Clinical)
4900 W OAKLAND PARK BLVD FL 3
LAUDERDALE LAKES, FL 33313
Broward County (954) 327-4060
MRS. GLENIS FABIENNE SAINT-CYR APRN FNP-C
Nurse Practitioner (Family)
4900 W OAKLAND PARK BLVD FL 3
LAUDERDALE LAKES, FL 33313
Broward County (954) 327-4060
KELLY GOMEZ LMHC
Counselor (Mental Health)
4900 W OAKLAND PARK BLVD FL 3
LAUDERDALE LAKES, FL 33313
Broward County (954) 327-4060
DR. VICKY JASMINE MARSH DO
Family Medicine
4900 W OAKLAND PARK BLVD FL 3
LAUDERDALE LAKES, FL 33313
Broward County (954) 327-4060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Banyan Community Health Center, Inc.'s NPI number?

The NPI number for Banyan Community Health Center, Inc. is 1972979631. It was assigned to this organization in the NPPES registry on August 18, 2015.

Where is Banyan Community Health Center, Inc. located?

Banyan Community Health Center, Inc. is located at 4900 W Oakland Park Blvd Fl 3, Lauderdale Lakes, FL 33313. The listed phone number is (305) 398-6100.

What is Banyan Community Health Center, Inc.'s specialty?

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

What insurance does Banyan Community Health Center, Inc. accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 3 other insurers list Banyan Community Health Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Banyan Community Health Center, Inc. was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.