| Pembroke Center For Wellness, Inc | |
|
773 Old Main Rd Pembroke NC 28372-8753 | |
| (910) 775-9201 | |
| (910) 521-8540 |
| Full Name | Pembroke Center For Wellness, Inc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 773 Old Main Rd, Pembroke, North Carolina |
| Authorized Official Name and Position | Ella Lynch (OWNER) |
| Authorized Official Contact | 9107403508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pembroke Center For Wellness, Inc Po Box 3605 Pembroke NC 28372-3605 Ph: (910) 775-9201 | Pembroke Center For Wellness, Inc 773 Old Main Rd Pembroke NC 28372-8753 Ph: (910) 775-9201 |
| NPI Number | 1699008144 |
|---|---|
| Provider Enumeration Date | 09/16/2009 |
| Last Update Date | 11/28/2011 |
| Medicare PECOS PAC ID | 0941343271 |
|---|---|
| Medicare Enrollment ID | O20100208000747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699008144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Ella O Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184611139 PECOS PAC ID: 5092720003 Enrollment ID: I20060213000538 |
Crossroads Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Blaine St, Pembroke, NC 28372 Phone: 910-521-8903 Fax: 910-521-2141 | |
Southeastern United Care,llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Drakes Branch Drive, Pembroke, NC 28372 Phone: 910-521-9557 Fax: 910-521-0077 | |
Angelo's Care Home, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 Union Chapel Rd, Pembroke, NC 28372 Phone: 910-521-1895 Fax: 910-521-7220 | |
Our House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 East Wardell Drive, Suite A, Pembroke, NC 28372 Phone: 910-521-1464 Fax: 910-521-1852 | |
Take Flight Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Main Street, Pembroke, NC 28372 Phone: 919-798-0967 | |
Positive Progress Services Corp. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 E 3rd St, Suite #5, Pembroke, NC 28372 Phone: 910-521-7461 Fax: 910-521-7463 | |
Crossroads Associates Llp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 636 Prospect Road, Pembroke, NC 28372 Phone: 910-522-2158 Fax: 910-522-2141 |