| Care-a-van House Calls Pc | |
|
142 Beech Tree Trl Kitty Hawk NC 27949-3113 | |
| (252) 441-9941 | |
| (252) 441-9943 |
| Full Name | Care-a-van House Calls Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 142 Beech Tree Trl, Kitty Hawk, North Carolina |
| Authorized Official Name and Position | Delana Jean Phillips (OWNER) |
| Authorized Official Contact | 2524419941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Care-a-van House Calls Pc 142 Beech Tree Trl Kitty Hawk NC 27949-3113 Ph: (252) 441-9941 | Care-a-van House Calls Pc 142 Beech Tree Trl Kitty Hawk NC 27949-3113 Ph: (252) 441-9941 |
| NPI Number | 1548200272 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 05/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548200272 | NPI | - | NPPES |
| 891192E | Medicaid | NC | |
| CH7794 | Other | NC | MEDICARE 'B' RAILROAD |
| 67565 | Other | NC | BCBS OF NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9600229 (North Carolina) | Primary |
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