| Fidelity First Health Care Services, Llc | |
|
3825 Market St Suite 6 Wilmington NC 28403-1453 | |
| (910) 343-1003 | |
| Not Available |
| Full Name | Fidelity First Health Care Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3825 Market St, Wilmington, North Carolina |
| Authorized Official Name and Position | Henry Jacobs (PROGRAM DIRECTOR) |
| Authorized Official Contact | 9103431003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fidelity First Health Care Services, Llc 3825 Market St Suite 6 Wilmington NC 28403-1453 Ph: (910) 343-1003 | Fidelity First Health Care Services, Llc 3825 Market St Suite 6 Wilmington NC 28403-1453 Ph: (910) 343-1003 |
| NPI Number | 1992990113 |
|---|---|
| Provider Enumeration Date | 09/11/2007 |
| Last Update Date | 09/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992990113 | NPI | - | NPPES |
| 8301726B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 251S00000X (North Carolina) | Primary |
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