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CH04038D NORTH FLORIDA MEDICAL CENTERS, INC. (Active)
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Main Details
Name
NORTH FLORIDA MEDICAL CENTERS, INC.
Subdivision Name
Family Medical Practice, Inc.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004709
340B ID
CH04038D
Grant Number
H80CS00693
Additional Details
Current Program Status
Active
Registration Date
7/1/2000
Participating Start Date
7/1/2000
Participating Approval Date
2/25/2005
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
North Florida Medical Centers, Inc.
Tori Wiggins, CFO
(850) 298-6040
Primary Contact
North Florida Medical Centers, Inc.
Matthew R Mayo, Privacy Officer
(850) 298-6009
Addresses
Street Address
412 SW HWY 351
CROSS CITY, FL 32628
Billing Address
NORTH FLORIDA MEDICAL CENTERS, INC.
2804 Remington Green Circle
TALLAHASSEE, FL 32308-8707
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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