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8282 Nc 58 S Elm City NC 27822-8079 | |
(252) 443-7764 | |
(252) 443-7611 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 8282 Nc 58 S, Elm City, North Carolina |
Authorized Official Name and Position | Laura Owens (CEO) |
Authorized Official Contact | 2522930013 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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303 Green St E Wilson NC 27893-4105 Ph: (252) 293-0013 | 8282 Nc 58 S Elm City NC 27822-8079 Ph: (252) 443-7764 |
NPI Number | 1417427642 |
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Provider Enumeration Date | 11/30/2018 |
Last Update Date | 10/26/2023 |
Identifier | Type | State | Issuer |
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1417427642 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |