| North Florida Medical Centers Inc | |
|
800 Hospital Dr Crestview FL 32539-7385 | |
| (850) 682-1164 | |
| (850) 682-5302 |
| Full Name | North Florida Medical Centers Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 800 Hospital Dr, Crestview, Florida |
| Authorized Official Name and Position | Lane Miller Lunn (PRESIDENT/CEO) |
| Authorized Official Contact | 8503854494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Florida Medical Centers Inc 2804 Remington Green Cir Ste 2 Tallahassee FL 32308-1550 Ph: (850) 385-4494 | North Florida Medical Centers Inc 800 Hospital Dr Crestview FL 32539-7385 Ph: (850) 682-1164 |
| NPI Number | 1194908954 |
|---|---|
| Provider Enumeration Date | 12/14/2007 |
| Last Update Date | 12/10/2020 |
| Medicare PECOS PAC ID | 6103737697 |
|---|---|
| Medicare Enrollment ID | O20080328000730 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194908954 | NPI | - | NPPES |
| CE1606 | Other | FL | RAILROAD MEDICARE |
| 99388 | Other | FL | MEDICARE PART B, GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Florida) | Primary |
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