Pungo District Hospital Corporation | |
202 E Water St Belhaven NC 27810-1450 | |
(252) 943-2111 | |
(252) 944-2236 |
Full Name | Pungo District Hospital Corporation |
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Speciality | Psychologist - Cognitive & Behavioral |
Location | 202 E Water St, Belhaven, North Carolina |
Authorized Official Name and Position | Harvey Case (PRESIDENT) |
Authorized Official Contact | 2529442208 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pungo District Hospital Corporation 202 E Water St Belhaven NC 27810-1450 Ph: (252) 943-2111 | Pungo District Hospital Corporation 202 E Water St Belhaven NC 27810-1450 Ph: (252) 943-2111 |
NPI Number | 1073634192 |
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Provider Enumeration Date | 04/03/2007 |
Last Update Date | 10/28/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073634192 | NPI | - | NPPES |
6005717 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TB0200X | Psychologist - Cognitive & Behavioral | H0002 (North Carolina) | Primary |
Living Well Family Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 293 E Water St, Belhaven, NC 27810 Phone: 252-402-6509 Fax: 252-558-0665 |