Access Medical Clinic North Carolina Pllc | |
18901 Ida Mill Rd Laurel Hill NC 28351-8326 | |
(870) 856-1202 | |
(870) 856-2107 |
Full Name | Access Medical Clinic North Carolina Pllc |
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Speciality | Clinic/Center |
Location | 18901 Ida Mill Rd, Laurel Hill, North Carolina |
Authorized Official Name and Position | Bradley Ray Bibb (OWNER/CEO) |
Authorized Official Contact | 8708561202 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Access Medical Clinic North Carolina Pllc 4196 Highway 62 412 Ste A Hardy AR 72542-8002 Ph: (870) 856-1202 | Access Medical Clinic North Carolina Pllc 18901 Ida Mill Rd Laurel Hill NC 28351-8326 Ph: (870) 856-1202 |
NPI Number | 1205596962 |
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Provider Enumeration Date | 12/22/2021 |
Last Update Date | 04/11/2023 |
Medicare PECOS PAC ID | 7618360629 |
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Medicare Enrollment ID | O20220215000060 |
Identifier | Type | State | Issuer |
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1205596962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Jennifer R Bullard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659912731 PECOS PAC ID: 4385078740 Enrollment ID: I20211111001602 |
Provider Name | Bradley Ray Bibb |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700824307 PECOS PAC ID: 1254371032 Enrollment ID: I20220215000103 |
Provider Name | Mark Hahn |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609895911 PECOS PAC ID: 3375584931 Enrollment ID: I20220308001794 |
Provider Name | Terri Moody |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750577698 PECOS PAC ID: 3678658473 Enrollment ID: I20231128000377 |
Laurel Hill Family Medicine Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9241 Morgan St, Laurel Hill, NC 28351 Phone: 910-462-4624 Fax: 910-462-4627 | |
Laurel Hill Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18901 Ida Mill Rd, Laurel Hill, NC 28351 Phone: 910-462-2707 Fax: 910-462-4184 |