| Charles Hines & Son, Inc | |
|
710 Coliseum Dr Ste 100 Winston Salem NC 27106-5362 | |
| (336) 896-0950 | |
| (336) 896-0955 |
| Full Name | Charles Hines & Son, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 710 Coliseum Dr Ste 100, Winston Salem, North Carolina |
| Authorized Official Name and Position | Charles A Hines (PRESIDENT) |
| Authorized Official Contact | 3368960950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Hines & Son, Inc 8025 N Point Blvd Suite 215-a Winston Salem NC 27106-3262 Ph: (336) 896-0950 | Charles Hines & Son, Inc 710 Coliseum Dr Ste 100 Winston Salem NC 27106-5362 Ph: (336) 896-0950 |
| NPI Number | 1437204286 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 11/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437204286 | NPI | - | NPPES |
| 8300141K | Medicaid | NC | |
| 8300141G | Medicaid | NC | |
| 8300141 | Medicaid | NC | |
| 8300141B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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