| Integrated Care Of Greater Hickory, Inc | |
|
741 5th St Sw Hickory NC 28602-3230 | |
| (828) 322-5915 | |
| (828) 345-0387 |
| Full Name | Integrated Care Of Greater Hickory, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 741 5th St Sw, Hickory, North Carolina |
| Authorized Official Name and Position | Douglas David Blakeman (CAO-CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 8283225915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Care Of Greater Hickory, Inc 741 5th St Sw Hickory NC 28602-3230 Ph: (828) 322-5915 | Integrated Care Of Greater Hickory, Inc 741 5th St Sw Hickory NC 28602-3230 Ph: (828) 322-5915 |
| NPI Number | 1376600718 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 04/08/2022 |
| Certification Date | 04/08/2022 |
| Medicare PECOS PAC ID | 3375624935 |
|---|---|
| Medicare Enrollment ID | O20080122000058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376600718 | NPI | - | NPPES |
| 8973845 | Medicaid | NC | |
| 8902716 | Medicaid | NC |
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