| Universal Mhddsas | |
|
397 3rd Ave Sw Taylorsville NC 28681-4180 | |
| (828) 632-7005 | |
| (828) 632-0435 |
| Full Name | Universal Mhddsas |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 397 3rd Ave Sw, Taylorsville, North Carolina |
| Authorized Official Name and Position | Brook Phillips (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8287594064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Universal Mhddsas 839 Wilkesboro Blvd Ne Lenoir NC 28645-4612 Ph: (828) 759-2228 | Universal Mhddsas 397 3rd Ave Sw Taylorsville NC 28681-4180 Ph: (828) 632-7005 |
| NPI Number | 1952443988 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952443988 | NPI | - | NPPES |
| 6005060 | Medicaid | NC | |
| 5900301 | Medicaid | NC | |
| 8300457B | Medicaid | NC | |
| 8300457G | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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