| Neighborhood Medical Center, Inc | |
|
2295 Pasco St Tallahassee FL 32310-0908 | |
| (850) 224-2409 | |
| Not Available |
| Full Name | Neighborhood Medical Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2295 Pasco St, Tallahassee, Florida |
| Authorized Official Name and Position | Nellie R Graham (HUMAN RESOURCES) |
| Authorized Official Contact | 8505770045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neighborhood Medical Center, Inc 438 W Brevard St Tallahassee FL 32301-1004 Ph: (850) 577-0045 | Neighborhood Medical Center, Inc 2295 Pasco St Tallahassee FL 32310-0908 Ph: (850) 224-2409 |
| NPI Number | 1902311277 |
|---|---|
| Provider Enumeration Date | 12/08/2017 |
| Last Update Date | 03/28/2023 |
| Medicare PECOS PAC ID | 7517082837 |
|---|---|
| Medicare Enrollment ID | O20140603002508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902311277 | NPI | - | NPPES |
| 112813602 | Medicaid | FL | |
| 112813600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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