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29 W French Broad St Ste 202 Brevard NC 28712-4773 | |
(828) 883-5550 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 29 W French Broad St Ste 202, Brevard, North Carolina |
Authorized Official Name and Position | Richard Hudspeth (CEO) |
Authorized Official Contact | 8286924289 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2579 Chimney Rock Rd Hendersonville NC 28792-9181 Ph: (828) 692-4289 | 29 W French Broad St Ste 202 Brevard NC 28712-4773 Ph: (828) 883-5550 |
NPI Number | 1578827507 |
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Provider Enumeration Date | 06/25/2012 |
Last Update Date | 01/27/2021 |
Medicare PECOS PAC ID | 3173434743 |
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Medicare Enrollment ID | O20120920000266 |
Identifier | Type | State | Issuer |
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1578827507 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Brevard College Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Brevard College Dr, Brevard, NC 28712 Phone: 972-367-4845 | |
Blue Mountain Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 S Caldwell St, Brevard, NC 28712 Phone: 828-883-4040 Fax: 828-883-4060 | |
Pineiro Family Practice, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 342 S Caldwell St, Brevard, NC 28712 Phone: 828-883-8181 Fax: 828-883-8711 | |