Bhg Xxxvii, Llc | |
414 Hospital Dr Clyde NC 28721-8026 | |
(828) 454-0560 | |
(828) 252-9512 |
Full Name | Bhg Xxxvii, Llc |
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Speciality | Clinic/Center |
Location | 414 Hospital Dr, Clyde, North Carolina |
Authorized Official Name and Position | Jemece Michelle Gasaway (DIRECTOR OF LICENSING) |
Authorized Official Contact | 2143656126 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bhg Xxxvii, Llc 5001 Spring Valley Road Suite 600 East Dallas TX 75244-3946 Ph: (214) 365-6100 | Bhg Xxxvii, Llc 414 Hospital Dr Clyde NC 28721-8026 Ph: (828) 454-0560 |
NPI Number | 1689072688 |
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Provider Enumeration Date | 12/08/2014 |
Last Update Date | 05/29/2020 |
Certification Date | 05/29/2020 |
Medicare PECOS PAC ID | 1557670593 |
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Medicare Enrollment ID | O20151014001787 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689072688 | NPI | - | NPPES |
Provider Name | Matthew E Holmes |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1730270927 PECOS PAC ID: 7113823733 Enrollment ID: I20031212000176 |
Provider Name | Randine Nadeau |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023100575 PECOS PAC ID: 1557389798 Enrollment ID: I20060127000680 |
Provider Name | Michael T Rey |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700825270 PECOS PAC ID: 7416050687 Enrollment ID: I20070323000506 |
Provider Name | Andy Michael Halberg |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972766483 PECOS PAC ID: 5991977274 Enrollment ID: I20111010000337 |
Provider Name | Nathan Herman Mullins |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1578895447 PECOS PAC ID: 3072637784 Enrollment ID: I20151209002380 |
Provider Name | Sarah Jean Lipham |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801348347 PECOS PAC ID: 5890076871 Enrollment ID: I20210123000022 |
Provider Name | Stella Nkechinyem Okonkwo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154072155 PECOS PAC ID: 3476921164 Enrollment ID: I20221130003415 |
Provider Name | Brittany Howell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497339287 PECOS PAC ID: 2860861515 Enrollment ID: I20221220000827 |
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