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75 Stamp Act Dr Bolivia NC 28422-8320 | |
(910) 253-5788 | |
(910) 253-2875 |
Full Name | |
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Speciality | Clinic/center - Public Health, State Or Local |
Location | 75 Stamp Act Dr, Bolivia, North Carolina |
Authorized Official Name and Position | David Stanley (HEALTH DIRECTOR) |
Authorized Official Contact | 19102532250 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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75 Stamp Act Dr Bolivia NC 28422-8320 Ph: (910) 253-5788 | 75 Stamp Act Dr Bolivia NC 28422-8320 Ph: (910) 253-5788 |
NPI Number | 1356498794 |
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Provider Enumeration Date | 01/05/2007 |
Last Update Date | 03/11/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356498794 | NPI | - | NPPES |
194741 | Other | NC | MEDCOST FLU |
3404476 | Medicaid | NC | |
070900 | Other | NC | BC BS FLU |
80888 | Other | NC | CIGNA FLU |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
Tri County Community Health Council Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4311 Old Ocean Highway, Bolivia, NC 28422 Phone: 877-935-5255 Fax: 910-236-2118 | |