| Century Pediatrics | |
|
501 Church St Century FL 32535-2914 | |
| (850) 436-4630 | |
| (850) 436-2095 |
| Full Name | Century Pediatrics |
|---|---|
| Speciality | Clinic/Center |
| Location | 501 Church St, Century, 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 |
|---|---|
| Century Pediatrics 2315 W Jackson St Pensacola FL 32505-7552 Ph: (850) 436-4630 | Century Pediatrics 501 Church St Century FL 32535-2914 Ph: (850) 436-4630 |
| NPI Number | 1932568029 |
|---|---|
| Provider Enumeration Date | 02/17/2016 |
| Last Update Date | 11/30/2018 |
| Medicare PECOS PAC ID | 9638165806 |
|---|---|
| Medicare Enrollment ID | O20161107002507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932568029 | NPI | - | NPPES |
| 692990725 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mayo Street Medical, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7600 Mayo St Ste A, Century, FL 32535 Phone: 888-517-4992 Fax: 252-377-4231 | |
Century Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8401 N Century Blvd, Century, FL 32535 Phone: 850-256-5314 Fax: 850-256-4433 | |
Century Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8401 N Century Blvd, Century, FL 32535 Phone: 850-256-5314 | |
Century Adult Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6021 Industrial Blvd, Century, FL 32535 Phone: 850-724-4064 Fax: 850-436-2095 |