| 7th Avenue Health Center | |
|
628 7th Ave E Hendersonville NC 28792-3801 | |
| (828) 692-4289 | |
| (828) 696-1794 |
| Full Name | 7th Avenue Health Center |
|---|---|
| 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 |
|---|---|
| 7th Avenue Health Center 220 5th Ave E Hendersonville NC 28792-4377 Ph: (828) 692-4289 | 7th Avenue Health Center 628 7th Ave E Hendersonville NC 28792-3801 Ph: (828) 692-4289 |
| NPI Number | 1801261391 |
|---|---|
| Provider Enumeration Date | 12/09/2015 |
| Last Update Date | 10/28/2024 |
| Medicare PECOS PAC ID | 3173434743 |
|---|---|
| Medicare Enrollment ID | O20160120001594 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164537478 PECOS PAC ID: 6709932007 Enrollment ID: I20220801003019 |
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