| Mcleod Centers For Wellbeing | |
|
500 Archdale Dr Charlotte NC 28217-4217 | |
| (704) 332-9001 | |
| (704) 332-0124 |
| Full Name | Mcleod Centers For Wellbeing |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 500 Archdale Dr, Charlotte, North Carolina |
| Authorized Official Name and Position | Marsha B Childers (DIRECTOR OF REVENUE CYCLE MANAGEMEN) |
| Authorized Official Contact | 7043329001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcleod Centers For Wellbeing 500 Archdale Dr Charlotte NC 28217-4217 Ph: (704) 332-9001 | Mcleod Centers For Wellbeing 500 Archdale Dr Charlotte NC 28217-4217 Ph: (704) 332-9001 |
| NPI Number | 1437167673 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 06/23/2023 |
| Certification Date | 06/23/2023 |
| Medicare PECOS PAC ID | 4284996901 |
|---|---|
| Medicare Enrollment ID | O20180316001439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437167673 | NPI | - | NPPES |
| 8300412 | Medicaid | NC | |
| 8300666 | Medicaid | NC | |
| 8301345 | Medicaid | NC | |
| 8300516 | Medicaid | NC | |
| 8301102 | Medicaid | NC | |
| 8301309 | Medicaid | NC |
| Provider Name | Heather M Manos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427186022 PECOS PAC ID: 7315082161 Enrollment ID: I20110120000363 |
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