| Primary Health Choice, Inc. | |
|
755 S Main St Raeford NC 28376-3238 | |
| (910) 875-1485 | |
| (910) 875-1567 |
| Full Name | Primary Health Choice, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 755 S Main St, Raeford, North Carolina |
| Authorized Official Name and Position | Thad J. Davis (DIRECTOR) |
| 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. 755 S Main St Raeford NC 28376-3238 Ph: (910) 875-1485 |
| NPI Number | 1821290677 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 03/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821290677 | NPI | - | NPPES |
| 8302374H | Medicaid | NC | |
| 8302374 | Medicaid | NC | |
| 8302374R | Medicaid | NC | |
| 2802374G | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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