| |
628 7th Ave E Hendersonville NC 28792-3801 | |
(828) 692-4289 | |
(828) 696-1794 |
Full Name | |
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Speciality | Clinic/Center |
Location | 628 7th Ave E, Hendersonville, North Carolina |
Authorized Official Name and Position | Richard W Hudspeth (CEO) |
Authorized Official Contact | 8286924289 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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220 5th Ave E Hendersonville NC 28792-4377 Ph: (828) 692-4289 | 628 7th Ave E Hendersonville NC 28792-3801 Ph: (828) 692-4289 |
NPI Number | 1801261391 |
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Provider Enumeration Date | 12/09/2015 |
Last Update Date | 10/28/2024 |
Medicare PECOS PAC ID | 3173434743 |
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Medicare Enrollment ID | O20160120001594 |
Identifier | Type | State | Issuer |
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1801261391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Kimberley M Austin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164537478 PECOS PAC ID: 6709932007 Enrollment ID: I20220801003019 |
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