| Mountain Community Health Partnership Incorporated | |
|
621 Micaville Loop Ste 600 Burnsville NC 28714-0828 | |
| (828) 675-4116 | |
| Not Available |
| Full Name | Mountain Community Health Partnership Incorporated |
|---|---|
| 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 |
|---|---|
| Mountain Community Health Partnership Incorporated Po Box 27 Bakersville NC 28705-0027 Ph: (828) 675-4116 | Mountain Community Health Partnership Incorporated 621 Micaville Loop Ste 600 Burnsville NC 28714-0828 Ph: (828) 675-4116 |
| NPI Number | 1790408771 |
|---|---|
| Provider Enumeration Date | 09/23/2022 |
| Last Update Date | 03/13/2024 |
| Medicare PECOS PAC ID | 3678538683 |
|---|---|
| Medicare Enrollment ID | O20231220000933 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790408771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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