Organization
BASCOM CLARENCE RANEY
Active
Other names
Century Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASCOM CLARENCE RANEY MD (MEDICAL DIRECTOR)
(850) 256-5314
Entity
Organization
Contact information
Practice address
8401 N CENTURY BLVD, CENTURY, FL 32535-1631
(850) 256-5314
(850) 256-4433
Mailing address
PO BOX 400, CENTURY, FL 32535
(850) 256-5314
(850) 256-4433
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660034400
—
FL
Enumeration date
08/08/2006
Last updated
12/21/2010
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