Compassionate Community Care | |
514 Old Us Highway 74 Fairview NC 28730-8748 | |
(828) 691-0087 | |
Not Available |
Full Name | Compassionate Community Care |
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Speciality | Community/Behavioral Health |
Location | 514 Old Us Highway 74, Fairview, North Carolina |
Authorized Official Name and Position | Stephanie Gilliland (PARTNER/PROGRAM DIRECTOR) |
Authorized Official Contact | 8286910087 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Compassionate Community Care 514 Old Us Highway 74 Fairview NC 28730-8748 Ph: (828) 691-0087 | Compassionate Community Care 514 Old Us Highway 74 Fairview NC 28730-8748 Ph: (828) 691-0087 |
NPI Number | 1144928730 |
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Provider Enumeration Date | 02/22/2023 |
Last Update Date | 02/23/2023 |
Certification Date | 02/23/2023 |
Medicare PECOS PAC ID | 9133574536 |
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Medicare Enrollment ID | O20231004002323 |
Identifier | Type | State | Issuer |
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1144928730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Michelle M Davidson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629409982 PECOS PAC ID: 2365714409 Enrollment ID: I20170823004114 |
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