| Progressive Care Services Inc | |
|
3216 Zebulon Rd Rocky Mount NC 27804-2435 | |
| (252) 452-3302 | |
| Not Available |
| Full Name | Progressive Care Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3216 Zebulon Rd, Rocky Mount, North Carolina |
| Authorized Official Name and Position | Victor Randolph Moore (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2524523302 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Care Services Inc 3216 Zebulon Rd Rocky Mount NC 27804-2435 Ph: (252) 452-3302 | Progressive Care Services Inc 3216 Zebulon Rd Rocky Mount NC 27804-2435 Ph: (252) 452-3302 |
| NPI Number | 1760620520 |
|---|---|
| Provider Enumeration Date | 01/31/2009 |
| Last Update Date | 01/31/2009 |
| Medicare PECOS PAC ID | 8022399096 |
|---|---|
| Medicare Enrollment ID | O20170105001241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760620520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (North Carolina) | Primary |
| Provider Name | Stephanie Payne Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538615265 PECOS PAC ID: 0840569455 Enrollment ID: I20170712003367 |
| Provider Name | Elzona Mae Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063843340 PECOS PAC ID: 8325381395 Enrollment ID: I20190514001597 |
| Provider Name | Chelsea Renee' Lynch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184133068 PECOS PAC ID: 9133531023 Enrollment ID: I20210223003130 |
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