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CHC26803-01 Neighborhood Medical Center Inc. (Active)
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Main Details
Name
Neighborhood Medical Center Inc.
Subdivision Name
Neighborhood Medical Center Smith Williams Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013710
340B ID
CHC26803-01
Grant Number
H80CS26803
Additional Details
Current Program Status
Active
Registration Date
4/15/2014
Participating Start Date
7/1/2014
Participating Approval Date
4/15/2014
Last Recertification Date
3/7/2025
Contacts
Authorizing Official
Neighborhood Medical Center, Inc.
Jeanne S Freeman, CEO
(850) 577-1558
Primary Contact
Neighborhood Medical Center
Otis W Kirksey, Director of Pharmacy Services
(850) 513-3267
Addresses
Street Address
2295 PASCO ST
TALLAHASSEE, FL 32310-0908
Billing Address
Neighborhood Medical Center Inc.
438 WEST BREVARD ST
TALLAHASSEE, FL 32301-1004
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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