|
| |
|
420 S Broadway St Ste 102 Forest City NC 28043-4011 | |
| (502) 394-2100 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 420 S Broadway St Ste 102, Forest City, North Carolina |
| Authorized Official Name and Position | Timothy Tyler Whobrey (PROVIDER ENROLLMENT) |
| Authorized Official Contact | 5026307249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
805 N Whittington Pkwy Louisville KY 40222-5186 Ph: (800) 866-0860 | 420 S Broadway St Ste 102 Forest City NC 28043-4011 Ph: (502) 394-2100 |
| NPI Number | 1326281148 |
|---|---|
| Provider Enumeration Date | 04/09/2009 |
| Last Update Date | 06/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326281148 | NPI | - | NPPES |
| 6600228 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
New Start Of The Piedmont Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 South. Broadway Street., Forest City, NC 28043 Phone: 704-648-8588 Fax: 704-865-6404 | |
Cnc Access Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 N Powell St, Suite 102, Forest City, NC 28043 Phone: 800-866-0860 | |
Turning Point Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 284 W Main St, Forest City, NC 28043 Phone: 828-247-0622 | |