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1214 Vaughn Rd Ste 101 Burlington NC 27217-2863 | |
(336) 532-0000 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 1214 Vaughn Rd, Burlington, North Carolina |
Authorized Official Name and Position | Brian Toomey (CEO) |
Authorized Official Contact | 9199338494 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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299 Lloyd St Carrboro NC 27510-1821 Ph: (919) 933-8494 | 1214 Vaughn Rd Ste 101 Burlington NC 27217-2863 Ph: (336) 532-0000 |
NPI Number | 1497058804 |
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Provider Enumeration Date | 12/08/2010 |
Last Update Date | 05/05/2014 |
Medicare PECOS PAC ID | 3476462102 |
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Medicare Enrollment ID | O20110127000718 |
Identifier | Type | State | Issuer |
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1497058804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (North Carolina) | Primary |
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