| Neighborhood Medical Center, Inc | |
|
604 E 5th Ave Havana FL 32333-1442 | |
| (850) 539-9800 | |
| Not Available |
| Full Name | Neighborhood Medical Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 604 E 5th Ave, Havana, Florida |
| Authorized Official Name and Position | Nellie R Graham (HUMAN RESOURCES) |
| Authorized Official Contact | 8505770045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neighborhood Medical Center, Inc 438 W Brevard St Tallahassee FL 32301-1004 Ph: (850) 224-2469 | Neighborhood Medical Center, Inc 604 E 5th Ave Havana FL 32333-1442 Ph: (850) 539-9800 |
| NPI Number | 1952816225 |
|---|---|
| Provider Enumeration Date | 12/08/2017 |
| Last Update Date | 03/25/2022 |
| Medicare PECOS PAC ID | 7517082837 |
|---|---|
| Medicare Enrollment ID | O20140602001944 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952816225 | NPI | - | NPPES |
| 112812501 | Medicaid | FL | |
| 112864300 | Medicaid | FL | |
| 112812500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Neighborhood Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1210 Kemp Rd, Havana, FL 32333 Phone: 850-539-8222 |