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902 Kirkwood Ave Nw Lenoir NC 28645-5121 | |
(828) 754-0101 | |
Not Available |
Full Name | |
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Speciality | Hospice Care, Community Based |
Location | 902 Kirkwood Ave Nw, Lenoir, North Carolina |
Authorized Official Name and Position | Edith S Riddlespurger (INTERIM CEO) |
Authorized Official Contact | 8287540101 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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902 Kirkwood Ave Nw Lenoir NC 28645-5121 Ph: (828) 754-0101 | 902 Kirkwood Ave Nw Lenoir NC 28645-5121 Ph: (828) 754-0101 |
NPI Number | 1184711301 |
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Provider Enumeration Date | 10/09/2006 |
Last Update Date | 05/30/2024 |
Medicare PECOS PAC ID | 4183669047 |
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Medicare Enrollment ID | O20050622000528 |
Identifier | Type | State | Issuer |
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1184711301 | NPI | - | NPPES |
3401504 | Medicaid | NC | |
023MH | Other | NC | BCBS |
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