| Coburn House | |
|
213 S Madison St Suite 100 Whiteville NC 28472-4121 | |
| (910) 642-3439 | |
| Not Available |
| Full Name | Coburn House |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 213 S Madison St, Whiteville, North Carolina |
| Authorized Official Name and Position | Milton Teague (DIRECTOR) |
| Authorized Official Contact | 9107396624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coburn House 213 S Madison St Suite 100 Whiteville NC 28472-4121 Ph: () - | Coburn House 213 S Madison St Suite 100 Whiteville NC 28472-4121 Ph: (910) 642-3439 |
| NPI Number | 1407914229 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 01/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407914229 | NPI | - | NPPES |
| 8301408 | Medicaid | NC | |
| 8301408S | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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