Ecu Health Adult Behavioral Health Center | |
111 Hertford County High Rd Ahoskie NC 27910-8131 | |
(252) 209-3056 | |
Not Available |
Full Name | Ecu Health Adult Behavioral Health Center |
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Speciality | Psychiatric Unit |
Location | 111 Hertford County High Rd, Ahoskie, North Carolina |
Authorized Official Name and Position | Charles E Alford (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 2522093610 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ecu Health Adult Behavioral Health Center 111 Hertford County High Rd Ahoskie NC 27910-8131 Ph: (252) 209-3056 | Ecu Health Adult Behavioral Health Center 111 Hertford County High Rd Ahoskie NC 27910-8131 Ph: (252) 209-3056 |
NPI Number | 1114905783 |
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Provider Enumeration Date | 01/04/2006 |
Last Update Date | 07/21/2022 |
Certification Date | 07/21/2022 |
Medicare PECOS PAC ID | 9739092727 |
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Medicare Enrollment ID | O20080312000063 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114905783 | NPI | - | NPPES |
00025 | Other | NC | BCBS PROVIDER # |
3400099S | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | H0001 (North Carolina) | Primary |
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