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9858 Wr Lathan Dr Clarkton NC 28433-9255 | |
(910) 862-1217 | |
(910) 647-0208 |
Full Name | |
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Speciality | Clinic/Center |
Location | 9858 Wr Lathan Dr, Clarkton, North Carolina |
Authorized Official Name and Position | Joseph Barton Fiser (VP CORP REVENUE AND MANAGED CARE) |
Authorized Official Contact | 9106155572 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 40908 Fayetteville NC 28309-0908 Ph: () - | 9858 Wr Lathan Dr Clarkton NC 28433-9255 Ph: (910) 862-1217 |
NPI Number | 1043759335 |
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Provider Enumeration Date | 02/20/2017 |
Last Update Date | 01/22/2025 |
Medicare PECOS PAC ID | 6800967969 |
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Medicare Enrollment ID | O20170331001478 |
Identifier | Type | State | Issuer |
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1043759335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Clarkton Health Center Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 E Church St, Clarkton, NC 28433 Phone: 910-647-4311 Fax: 910-647-0123 |