| Bellam Medical Clinic | |
|
11707 N Williams St Ste 3 Dunnellon FL 34432-5890 | |
| (352) 465-1199 | |
| Not Available |
| Full Name | Bellam Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 11707 N Williams St, Dunnellon, Florida |
| Authorized Official Name and Position | Rajendra P Bellam (PRESIDENT) |
| Authorized Official Contact | 3524651199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellam Medical Clinic Po Box 640573 Beverly Hills FL 34464-0573 Ph: (352) 746-1558 | Bellam Medical Clinic 11707 N Williams St Ste 3 Dunnellon FL 34432-5890 Ph: (352) 465-1199 |
| NPI Number | 1154475200 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 06/25/2008 |
| Medicare PECOS PAC ID | 9032023221 |
|---|---|
| Medicare Enrollment ID | O20101108001127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154475200 | NPI | - | NPPES |
| 660072700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | ME0060472 (Florida) | Primary |
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