| Bascom Clarence Raney | |
|
8401 N Century Blvd Century FL 32535-1631 | |
| (850) 256-5314 | |
| (850) 256-4433 |
| Full Name | Bascom Clarence Raney |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 8401 N Century Blvd, Century, Florida |
| Authorized Official Name and Position | Bascom Clarence Raney (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8502565314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bascom Clarence Raney Po Box 400 Century FL 32535 Ph: (850) 256-5314 | Bascom Clarence Raney 8401 N Century Blvd Century FL 32535-1631 Ph: (850) 256-5314 |
| NPI Number | 1235149949 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 12/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235149949 | NPI | - | NPPES |
| 660034400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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