Neighborhood Medical Center, Inc | |
872 W Orange Ave Tallahassee FL 32310-6123 | |
(850) 606-8226 | |
Not Available |
Full Name | Neighborhood Medical Center, Inc |
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Speciality | Clinic/Center |
Location | 872 W Orange Ave, Tallahassee, Florida |
Authorized Official Name and Position | Nellie R Graham (CREDENTIALING MANAGER) |
Authorized Official Contact | 8505770045 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neighborhood Medical Center, Inc 438 W Brevard St Tallahassee FL 32301-1004 Ph: (850) 577-0045 | Neighborhood Medical Center, Inc 872 W Orange Ave Tallahassee FL 32310-6123 Ph: (850) 606-8226 |
NPI Number | 1851806079 |
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Provider Enumeration Date | 12/11/2017 |
Last Update Date | 03/28/2023 |
Medicare PECOS PAC ID | 7517082837 |
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Medicare Enrollment ID | O20140604000032 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851806079 | NPI | - | NPPES |
112813702 | Medicaid | FL | |
112812300 | Medicaid | FL | |
112863500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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