| Port Health Services | |
|
231 Memorial Dr Ste A&b Jacksonville NC 28546-6333 | |
| (910) 353-5354 | |
| (910) 353-5398 |
| Full Name | Port Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 231 Memorial Dr Ste A&b, Jacksonville, North Carolina |
| Authorized Official Name and Position | Brett Beavers (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9192107661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Health Services 4300 Sapphire Ct Ste 110 Greenville NC 27834-9079 Ph: (252) 830-7540 | Port Health Services 231 Memorial Dr Ste A&b Jacksonville NC 28546-6333 Ph: (910) 353-5354 |
| NPI Number | 1609292903 |
|---|---|
| Provider Enumeration Date | 03/11/2014 |
| Last Update Date | 01/24/2024 |
| Certification Date | 01/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609292903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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