| Comserv, Inc. | |
|
112 E Dixon Blvd Shelby NC 28152 | |
| (704) 487-9806 | |
| Not Available |
| Full Name | Comserv, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 112 E Dixon Blvd, Shelby, North Carolina |
| Authorized Official Name and Position | Dawn Kelley (CEO) |
| Authorized Official Contact | 8283254926 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comserv, Inc. 619 Pennton Ave Sw Lenoir NC 28645-5743 Ph: (828) 757-0209 | Comserv, Inc. 112 E Dixon Blvd Shelby NC 28152 Ph: (704) 487-9806 |
| NPI Number | 1609909662 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 07/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609909662 | NPI | - | NPPES |
| 8300946 | Medicaid | NC | |
| 8300946B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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