| Santa Rosa Community Clinic | |
|
6671 Caroline St Milton FL 32570-4781 | |
| (850) 981-9433 | |
| (850) 981-9436 |
| Full Name | Santa Rosa Community Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 6671 Caroline St, Milton, Florida |
| Authorized Official Name and Position | Chandra Smiley (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8504364630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Rosa Community Clinic 2315 W Jackson St Pensacola FL 32505-7552 Ph: (850) 436-4630 | Santa Rosa Community Clinic 6671 Caroline St Milton FL 32570-4781 Ph: (850) 981-9433 |
| NPI Number | 1689864035 |
|---|---|
| Provider Enumeration Date | 07/31/2007 |
| Last Update Date | 08/04/2021 |
| Medicare PECOS PAC ID | 9638165806 |
|---|---|
| Medicare Enrollment ID | O20160224000026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689864035 | NPI | - | NPPES |
| 692990702 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Mark J Elder Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5992 Berryhill Rd, Milton, FL 32570 Phone: 850-981-0320 | |
Santa Rosa Hma Physician Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6072 Doctors Park, Milton, FL 32570 Phone: 850-936-1316 Fax: 850-936-5808 | |
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