Provider Demographics
NPI:1396402772
Name:ZION GLOBAL HEALTH CENTER CORP
Entity Type:Organization
Organization Name:ZION GLOBAL HEALTH CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:URSULA
Authorized Official - Last Name:CHIPOLLINI
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP FNP-BC PMHNP-BC
Authorized Official - Phone:479-856-2203
Mailing Address - Street 1:2851 LEONARD DR APT J506
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-3904
Mailing Address - Country:US
Mailing Address - Phone:479-856-2203
Mailing Address - Fax:
Practice Address - Street 1:2851 LEONARD DR APT J506
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33160-3904
Practice Address - Country:US
Practice Address - Phone:479-856-2203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-20
Last Update Date:2021-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty