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146 Nesbitt Rdg Lake Lure NC 28746-0057 | |
(828) 625-4400 | |
(828) 625-4455 |
Full Name | |
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Speciality | Clinic/Center |
Location | 146 Nesbitt Rdg, Lake Lure, North Carolina |
Authorized Official Name and Position | Richard Hudspeth (CEO) |
Authorized Official Contact | 8282332284 |
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 27509 Belfast ME 04915-2027 Ph: (828) 692-4289 | 146 Nesbitt Rdg Lake Lure NC 28746-0057 Ph: (828) 625-4400 |
NPI Number | 1003384140 |
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Provider Enumeration Date | 11/07/2018 |
Last Update Date | 09/08/2022 |
Medicare PECOS PAC ID | 3173434743 |
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Medicare Enrollment ID | O20190214002594 |
Identifier | Type | State | Issuer |
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1003384140 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |