Rutherford-polk Actt | |
431 S. Main St Ste 4 Ruthefordton NC 29139 | |
(828) 288-8668 | |
Not Available |
Full Name | Rutherford-polk Actt |
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Speciality | Community/behavioral Health |
Location | 431 S. Main St Ste 4, Ruthefordton, North Carolina |
Authorized Official Name and Position | Kevin Cochran (FINANCIAL ASSISTANT) |
Authorized Official Contact | 9199810740 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rutherford-polk Actt 1331 Sunday Dr Raleigh NC 27607 Ph: (919) 981-0740 | Rutherford-polk Actt 431 S. Main St Ste 4 Ruthefordton NC 29139 Ph: (828) 288-8668 |
NPI Number | 1497888028 |
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Provider Enumeration Date | 03/13/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497888028 | NPI | - | NPPES |
8301646G | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |