| Neighborhood Medical Center, Inc | |
|
1210 Kemp Rd Havana FL 32333-1938 | |
| (850) 539-8222 | |
| Not Available |
| Full Name | Neighborhood Medical Center, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1210 Kemp Rd, Havana, Florida |
| Authorized Official Name and Position | Nellie R Graham (CREDENTIALING MANAGER) |
| Authorized Official Contact | 8505770045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neighborhood Medical Center, Inc 1210 Kemp Rd Havana FL 32333-1938 Ph: (850) 539-8222 | Neighborhood Medical Center, Inc 1210 Kemp Rd Havana FL 32333-1938 Ph: (850) 539-8222 |
| NPI Number | 1093207607 |
|---|---|
| Provider Enumeration Date | 05/31/2018 |
| Last Update Date | 05/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093207607 | NPI | - | NPPES |
| 262263720 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Florida) | Primary |
Neighborhood Medical Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 604 E 5th Ave, Havana, FL 32333 Phone: 850-539-9800 |