NPIMap

Organization Active NPI

Jay Hospital Inc

  • Rural Health Clinic/Center
  • Century, FL
National Provider Identifier
1699192567
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
JAY HOSPITAL INC
Practice address
8401 N Century Blvd
Century, FL 32535-1631
Phone
(850) 256-5314
NPI assigned
Mar 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Keith Strickling
Title
Administrator
Phone
(850) 675-8024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

8401 N Century Blvd
Century, FL 32535-1631

Mailing address

PO Box 399
Century, FL 32535-0399

Other names 1

  • Century Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040129000235 FL Part B Supplier - Clinic/Group Practice 3577466325 Receives reassigned benefits from 23 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Century, FL; Jay, FL
O20180109000074 FL Part A Provider - Rural Health Clinic 3577466325 Practice locations: Century, FL

Rural health clinic certification: CCN 103458

Legal name
JAY HOSPITAL INC
Doing business as
CENTURY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 12, 2017
Last certification
Jul 11, 2019
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Feb 13, 2001 in FL
Enrollment address
8401 N Century Blvd
Century, FL 32535-1631
Related CCNs
100048

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0271327Jay Hospital Inc8401 N Century Blvd, Century, FL 32535Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jay Hospital Inc Organization, Jay, FL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 12, 2017 100%
Keith L Strickling Individual Corporate DirectorAdministrator Feb 5, 2023 100%
W-2 Managing EmployeeAdministrator Feb 5, 2023 100%
Valerie Cadena Individual Corporate OfficerSenior VP Operations Jan 1, 2022 100%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1699192567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399",
            "city": "CENTURY",
            "state": "FL",
            "postal_code": "325350399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 N CENTURY BLVD",
            "city": "CENTURY",
            "state": "FL",
            "postal_code": "325351631",
            "telephone_number": "850-256-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "STRICKLING",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-675-8024"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Century Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Century Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Century, FL

Sources for this page

Verify at the official NPI Registry.