| Children's Medical Center | |
|
14861 Nw Us Highway 441 Alachua FL 32615-8203 | |
| (386) 462-1911 | |
| (386) 462-1943 |
| Full Name | Children's Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 14861 Nw Us Highway 441, Alachua, Florida |
| Authorized Official Name and Position | Andres R Villar (ADMINISTRATOR) |
| Authorized Official Contact | 3867555044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Medical Center Po Box 606 Glen St Mary FL 32040-0606 Ph: (904) 653-1818 | Children's Medical Center 14861 Nw Us Highway 441 Alachua FL 32615-8203 Ph: (386) 462-1911 |
| NPI Number | 1801980909 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 07/22/2021 |
| Certification Date | 07/22/2021 |
| Medicare PECOS PAC ID | 5092623439 |
|---|---|
| Medicare Enrollment ID | O20070409000170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801980909 | NPI | - | NPPES |
| 660174000 | Other | FL | MEDICAID RURAL HEALTH CLINIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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