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621 Micaville Loop Ste 600 Burnsville NC 28714-0828 | |
(828) 675-4116 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 621 Micaville Loop Ste 600, Burnsville, North Carolina |
Authorized Official Name and Position | Timothy Evans (CEO) |
Authorized Official Contact | 8286754116 |
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 27 Bakersville NC 28705-0027 Ph: (828) 675-4116 | 621 Micaville Loop Ste 600 Burnsville NC 28714-0828 Ph: (828) 675-4116 |
NPI Number | 1790408771 |
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Provider Enumeration Date | 09/23/2022 |
Last Update Date | 03/13/2024 |
Medicare PECOS PAC ID | 3678538683 |
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Medicare Enrollment ID | O20231220000933 |
Identifier | Type | State | Issuer |
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1790408771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Still Waters Family Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 715 E Main St, Burnsville, NC 28714 Phone: 828-260-9082 | |
Ppadbvl Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 E Main St, Burnsville, NC 28714 Phone: 828-678-1121 Fax: 828-678-3945 |