| Station Club | |
|
196 Cinnamon Drive Hubert NC 28539-4441 | |
| (910) 326-7600 | |
| (919) 590-1581 |
| Full Name | Station Club |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 196 Cinnamon Drive, Hubert, North Carolina |
| Authorized Official Name and Position | Sebrina L Phillips (FACILITY ADMINISTRATOR) |
| Authorized Official Contact | 9194364001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Station Club 198 Cinnamon Dr Hubert NC 28539-4441 Ph: (910) 326-7600 | Station Club 196 Cinnamon Drive Hubert NC 28539-4441 Ph: (910) 326-7600 |
| NPI Number | 1013061282 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 05/25/2022 |
| Certification Date | 04/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013061282 | NPI | - | NPPES |
| 3409094 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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