Rutherford-polk Actt | |
431 S Main St Ste 4 Rutherfordton NC 28139-2949 | |
(828) 288-8668 | |
Not Available |
Full Name | Rutherford-polk Actt |
---|---|
Speciality | Community/behavioral Health |
Location | 431 S Main St Ste 4, Rutherfordton, 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 |
---|---|
Rutherford-polk Actt 1331 Sunday Dr Raleigh NC 27607 Ph: (919) 981-0740 | Rutherford-polk Actt 431 S Main St Ste 4 Rutherfordton NC 28139-2949 Ph: (828) 288-8668 |
NPI Number | 1770616302 |
---|---|
Provider Enumeration Date | 03/13/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770616302 | NPI | - | NPPES |
8301646A | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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