| Clarvida | |
|
139 E Trade St Forest City NC 28043-3149 | |
| (828) 287-7945 | |
| Not Available |
| Full Name | Clarvida |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 139 E Trade St, Forest City, North Carolina |
| Authorized Official Name and Position | Melissa K Hedden (CONTRACT MANAGER) |
| Authorized Official Contact | 8287487629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarvida 10304 Spotsylvania Ave Fredericksburg VA 22408-8602 Ph: (828) 287-6110 | Clarvida 139 E Trade St Forest City NC 28043-3149 Ph: (828) 287-7945 |
| NPI Number | 1043445471 |
|---|---|
| Provider Enumeration Date | 05/29/2009 |
| Last Update Date | 07/15/2024 |
| Certification Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043445471 | NPI | - | NPPES |
| 8301589V | Medicaid | NC | |
| 8301589B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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