Easter Seals Ucp North Carolina & Virginia, Inc. | |
913 N Carolina Ave Statesville NC 28677-3414 | |
(704) 402-1060 | |
(704) 402-1065 |
Full Name | Easter Seals Ucp North Carolina & Virginia, Inc. |
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Speciality | Community/behavioral Health |
Location | 913 N Carolina Ave, Statesville, North Carolina |
Authorized Official Name and Position | Nasheba Key-allred (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 9198658632 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Easter Seals Ucp North Carolina & Virginia, Inc. 5171 Glenwood Ave Suite 400 Raleigh NC 27612-3266 Ph: (919) 783-8898 | Easter Seals Ucp North Carolina & Virginia, Inc. 913 N Carolina Ave Statesville NC 28677-3414 Ph: (704) 402-1060 |
NPI Number | 1942362884 |
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Provider Enumeration Date | 12/15/2006 |
Last Update Date | 08/17/2021 |
Certification Date | 08/17/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942362884 | NPI | - | NPPES |
8300675H | Medicaid | NC | |
018KJ | Other | NC | NC BCBS |
8300675F | Medicaid | NC | |
8300675 | Medicaid | NC | |
8300675B | Medicaid | NC | |
8300675I | Medicaid | NC | |
8300675A | Medicaid | NC | |
8300675G | Medicaid | NC |
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Iredell County Dss Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 549 Eastside Dr, Statesville, NC 28625 Phone: 704-873-5631 Fax: 704-871-3489 | |
Manifest Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Stockton St Ste M, Statesville, NC 28677 Phone: 980-446-0004 Fax: 980-446-0004 | |
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