| Bertie County Rural Health Association | |
|
104 Rhodes Ave Windsor NC 27983-9656 | |
| (252) 794-3042 | |
| (252) 794-2911 |
| Full Name | Bertie County Rural Health Association |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 104 Rhodes Ave, Windsor, North Carolina |
| Authorized Official Name and Position | Shavonda H Pugh (CEO) |
| Authorized Official Contact | 2527941835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bertie County Rural Health Association 104 Rhodes Ave Po Box 628 Windsor NC 27983-9656 Ph: (252) 794-3042 | Bertie County Rural Health Association 104 Rhodes Ave Windsor NC 27983-9656 Ph: (252) 794-3042 |
| NPI Number | 1053577452 |
|---|---|
| Provider Enumeration Date | 08/05/2008 |
| Last Update Date | 03/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053577452 | NPI | - | NPPES |
| 344512C | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |