| Beckford Avenue Medical Center Pa | |
|
176 Beckford Dr Henderson NC 27536-2589 | |
| (252) 492-2161 | |
| (252) 438-2888 |
| Full Name | Beckford Avenue Medical Center Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 176 Beckford Dr, Henderson, North Carolina |
| Authorized Official Name and Position | James E Kenney (PRESIDENT) |
| Authorized Official Contact | 2524922161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beckford Avenue Medical Center Pa 176 Beckford Dr Henderson NC 27536-2589 Ph: (252) 492-2161 | Beckford Avenue Medical Center Pa 176 Beckford Dr Henderson NC 27536-2589 Ph: (252) 492-2161 |
| NPI Number | 1679571574 |
|---|---|
| Provider Enumeration Date | 07/13/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679571574 | NPI | - | NPPES |
| 8901092 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (North Carolina) | Primary |
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