| |
288 S Ridgecrest Ave Rutherfordton NC 28139-2838 | |
(828) 286-5000 | |
(828) 286-5207 |
Full Name | |
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Speciality | Psychiatric Unit |
Location | 288 S Ridgecrest Ave, Rutherfordton, North Carolina |
Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
Authorized Official Contact | 6159207000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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330 Seven Springs Way Brentwood TN 37027-4536 Ph: (615) 920-7000 | 288 S Ridgecrest Ave Rutherfordton NC 28139-2838 Ph: (828) 286-5000 |
NPI Number | 1487743340 |
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Provider Enumeration Date | 10/11/2006 |
Last Update Date | 04/29/2024 |
Certification Date | 04/29/2024 |
Medicare PECOS PAC ID | 5193941326 |
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Medicare Enrollment ID | O20150326000526 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487743340 | NPI | - | NPPES |
3400013S | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
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273R00000X | Psychiatric Unit | H0039 (North Carolina) | Primary |
Institute For Family Centered Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 668 Poors Ford Rd, Rutherfordton, NC 28139 Phone: 828-287-7505 Fax: 828-288-4635 | |
Eden Of Abundance Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 W 2nd St, Rutherfordton, NC 28139 Phone: 828-829-7171 Fax: 855-870-7181 | |
Sana Vita, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 N Main St Ste D, Rutherfordton, NC 28139 Phone: 828-447-8253 Fax: 828-537-1373 | |