| Jay Medical Clinic | |
|
14088 Alabama St Jay FL 32565-1036 | |
| (850) 675-4546 | |
| (850) 675-4548 |
| Full Name | Jay Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 14088 Alabama St, Jay, Florida |
| Authorized Official Name and Position | Cleatious David Smith (OWNER SUPERVISING PHYSICIAN) |
| Authorized Official Contact | 8506754546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Medical Clinic Po Box 10 Jay FL 32565-0010 Ph: (850) 675-4546 | Jay Medical Clinic 14088 Alabama St Jay FL 32565-1036 Ph: (850) 675-4546 |
| NPI Number | 1255398228 |
|---|---|
| Provider Enumeration Date | 04/26/2006 |
| Last Update Date | 07/05/2012 |
| Medicare PECOS PAC ID | 1557358801 |
|---|---|
| Medicare Enrollment ID | O20040428000859 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255398228 | NPI | - | NPPES |
| 660022102 | Medicaid | FL | |
| 21333 | Other | FL | BCBS OF FLORIDA GROUP NUMBER |
| 660022100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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