| Children's Medical Center | |
|
1419 S 6th St Macclenny FL 32063-4624 | |
| (904) 653-1822 | |
| (904) 259-1225 |
| Full Name | Children's Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1419 S 6th St, Macclenny, 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 1419 S 6th St Macclenny FL 32063-4624 Ph: (904) 653-1822 |
| NPI Number | 1538253638 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 07/22/2021 |
| Medicare PECOS PAC ID | 5092623439 |
|---|---|
| Medicare Enrollment ID | O20041008000289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538253638 | NPI | - | NPPES |
| 660140500 | Other | FL | MEDICAID RURAL HEALTH CLINIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Dopson Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 N 3rd St, Macclenny, FL 32063 Phone: 904-259-3151 Fax: 904-259-3279 | |
Comp Med Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 N 3rd St, Macclenny, FL 32063 Phone: 904-259-7185 | |
Tecson Family Practice Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 S 6th St, Maccle, Macclenny, FL 32063 Phone: 904-259-3150 Fax: 904-259-7890 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 S 6th St, Macclenny, FL 32063 Phone: 904-259-3150 Fax: 904-259-7890 | |
Peter C. Jansen Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 N 3rd St, Macclenny, FL 32063 Phone: 904-259-7815 Fax: 904-259-4675 | |
Baker Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 159 N 3rd St, Macclenny, FL 32063 Phone: 904-259-3151 Fax: 904-259-3279 | |
Ward Medical Consulting Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 N 3rd St, Macclenny, FL 32063 Phone: 229-300-7694 |