| Core Essentials | |
|
1906 E Nc Highway 54 Ste 100c Durham NC 27713-2284 | |
| (919) 886-6056 | |
| (877) 786-5369 |
| Full Name | Core Essentials |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1906 E Nc Highway 54 Ste 100c, Durham, North Carolina |
| Authorized Official Name and Position | Lasheka D Allen (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 9198866056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Essentials 1920 E Nc Highway 54 Ste 110 Durham NC 27713-2262 Ph: (919) 886-6056 | Core Essentials 1906 E Nc Highway 54 Ste 100c Durham NC 27713-2284 Ph: (919) 886-6056 |
| NPI Number | 1316208713 |
|---|---|
| Provider Enumeration Date | 06/01/2012 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9739306176 |
|---|---|
| Medicare Enrollment ID | O20140808001340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316208713 | NPI | - | NPPES |
| 6008741 | Medicaid | NC |
| Provider Name | Anne C Herron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023234937 PECOS PAC ID: 9638396088 Enrollment ID: I20140808001631 |
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