| Exchange Scan | |
|
500 W Northwest Blvd Winston Salem NC 27105-6526 | |
| (336) 748-9028 | |
| (336) 748-9030 |
| Full Name | Exchange Scan |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 500 W Northwest Blvd, Winston Salem, North Carolina |
| Authorized Official Name and Position | Richard Paul Brodeur (OPERATIONS MANAGER/COMPTROLLER) |
| Authorized Official Contact | 3367489028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exchange Scan 500 W Northwest Blvd Winston Salem NC 27105-6526 Ph: (336) 748-9028 | Exchange Scan 500 W Northwest Blvd Winston Salem NC 27105-6526 Ph: (336) 748-9028 |
| NPI Number | 1417045741 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417045741 | NPI | - | NPPES |
| 6005439 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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