| Polk County Community Health & Wellness Center, Inc | |
|
801 W Mills St Ste A&b Columbus NC 28722-8494 | |
| (828) 894-2222 | |
| Not Available |
| Full Name | Polk County Community Health & Wellness Center, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 801 W Mills St Ste A&b, Columbus, North Carolina |
| Authorized Official Name and Position | Mary Jo Stark (OFFICE MANAGER) |
| Authorized Official Contact | 8288942222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polk County Community Health & Wellness Center, Inc Po Box 130 Columbus NC 28722-0130 Ph: (828) 894-2222 | Polk County Community Health & Wellness Center, Inc 801 W Mills St Ste A&b Columbus NC 28722-8494 Ph: (828) 894-2222 |
| NPI Number | 1386883296 |
|---|---|
| Provider Enumeration Date | 02/17/2009 |
| Last Update Date | 03/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386883296 | NPI | - | NPPES |
| 6102994 | Medicaid | NC | |
| 7912153 | Medicaid | NC | |
| 6005017 | Medicaid | NC | |
| 1740484575 | Other | NC | NPI |
| 6106296 | Medicaid | NC | |
| 6000122 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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