Full Name | |
---|---|
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 |
---|---|
220 5th Ave E Hendersonville NC 28792-4377 Ph: (828) 692-4289 | 44 Bonnie Ln Sylva NC 28779-8511 Ph: (828) 631-3973 |
NPI Number | 1396481495 |
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Provider Enumeration Date | 05/11/2022 |
Last Update Date | 10/19/2022 |
Medicare PECOS PAC ID | 3173434743 |
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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 |
Sylva Medical Center Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 293 Hospital Rd, Sylva, NC 28779 Phone: 828-586-8971 | |
Wellspring Family Practice, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 81 Medical Park Loop, Suite 202, Sylva, NC 28779 Phone: 828-586-7705 Fax: 828-586-7714 | |
Sylva Family Practice, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 430 Fisher Creek Rd, Sylva, NC 28779 Phone: 828-586-4012 Fax: 828-586-5162 | |