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154 Medical Park Loop # A Sylva NC 28779-5271 | |
(828) 307-0900 | |
(866) 340-6013 |
Full Name | |
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Speciality | Clinic/Center |
Location | 154 Medical Park Loop # A, Sylva, North Carolina |
Authorized Official Name and Position | Shantelle Simpson (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8282025200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 100181 Columbia SC 29202-3141 Ph: (828) 202-5200 | 154 Medical Park Loop # A Sylva NC 28779-5271 Ph: (828) 307-0900 |
NPI Number | 1841644531 |
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Provider Enumeration Date | 04/19/2016 |
Last Update Date | 05/18/2023 |
Medicare PECOS PAC ID | 5395050827 |
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Medicare Enrollment ID | O20160720000898 |
Identifier | Type | State | Issuer |
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1841644531 | NPI | - | NPPES |
1841644531 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
Sylva Medical Center Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 293 Hospital Rd, Sylva, NC 28779 Phone: 828-586-8971 | |
Wellspring Family Practice, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 81 Medical Park Loop, Suite 202, Sylva, NC 28779 Phone: 828-586-7705 Fax: 828-586-7714 | |
Sylva Family Practice, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 430 Fisher Creek Rd, Sylva, NC 28779 Phone: 828-586-4012 Fax: 828-586-5162 | |