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2416 Bedgood Drive Wilson NC 27893-8515 | |
| (252) 265-9200 | |
| (252) 237-8600 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2416 Bedgood Drive, Wilson, North Carolina |
| Authorized Official Name and Position | Jason Rutski (DIRECTOR OF BUSINESS OPERATIONS) |
| Authorized Official Contact | 9104521460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
231 Commerce St Greenville NC 27858-5029 Ph: (252) 321-8080 | 2416 Bedgood Drive Wilson NC 27893-8515 Ph: (252) 265-9200 |
| NPI Number | 1043365869 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 10/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043365869 | NPI | - | NPPES |
| 8300246 | Medicaid | NC | |
| 8300246G | Medicaid | NC | |
| 8300246B | Medicaid | NC |
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