| Primary Health Choice, Inc. | |
|
22421 Andrew Jackson Hwy Maxton NC 28364-6721 | |
| (910) 844-2008 | |
| Not Available |
| Full Name | Primary Health Choice, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 22421 Andrew Jackson Hwy, Maxton, North Carolina |
| Authorized Official Name and Position | Thad J Davis (CEO) |
| Authorized Official Contact | 9108653500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Health Choice, Inc. Po Box 159 Saint Pauls NC 28384-0159 Ph: (910) 865-3500 | Primary Health Choice, Inc. 22421 Andrew Jackson Hwy Maxton NC 28364-6721 Ph: (910) 844-2008 |
| NPI Number | 1609911411 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 02/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609911411 | NPI | - | NPPES |
| 8301878G | Medicaid | NC | |
| 8301878 | Medicaid | NC | |
| 8301878H | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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