| Blue Ridge Health-meridian Bonnie Lane | |
|
44 Bonnie Ln Sylva NC 28779-8511 | |
| (828) 631-3973 | |
| (828) 631-9280 |
| Full Name | Blue Ridge Health-meridian Bonnie Lane |
|---|---|
| Speciality | Clinic/Center |
| Location | 44 Bonnie Ln, Sylva, North Carolina |
| Authorized Official Name and Position | Richard W 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 |
|---|---|
| Blue Ridge Health-meridian Bonnie Lane 220 5th Ave E Hendersonville NC 28792-4377 Ph: (828) 692-4289 | Blue Ridge Health-meridian Bonnie Lane 44 Bonnie Ln Sylva NC 28779-8511 Ph: (828) 631-3973 |
| NPI Number | 1396481495 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 10/19/2022 |
| Medicare PECOS PAC ID | 3173434743 |
|---|---|
| Medicare Enrollment ID | O20221011002877 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396481495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
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