| |
3070 11th Avenue Dr Se Hickory NC 28602 | |
(828) 695-5800 | |
(828) 695-4410 |
Full Name | |
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Speciality | Clinic/Center |
Location | 3070 11th Avenue Dr Se, Hickory, North Carolina |
Authorized Official Name and Position | Jennifer Mccracken (HEALTH DIRECTOR) |
Authorized Official Contact | 8286955803 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3070 11th Avenue Dr Se Hickory NC 28602-8336 Ph: (828) 695-5800 | 3070 11th Avenue Dr Se Hickory NC 28602 Ph: (828) 695-5800 |
NPI Number | 1992857841 |
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Provider Enumeration Date | 01/18/2007 |
Last Update Date | 02/24/2022 |
Medicare PECOS PAC ID | 8527952654 |
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Medicare Enrollment ID | O20060302000606 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992857841 | NPI | - | NPPES |
3404318 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP0905X | Clinic/center - Public Health, State Or Local | (North Carolina) | Primary |
Provider Name | Melinda C Daves |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689779837 PECOS PAC ID: 9234129438 Enrollment ID: I20040518000313 |
Provider Name | Billy L Price |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407812308 PECOS PAC ID: 4880662253 Enrollment ID: I20100127000949 |
Provider Name | Harold Charles Dufour |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1144273681 PECOS PAC ID: 8921122615 Enrollment ID: I20101020000476 |
Provider Name | Karen Diane Hicks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114067220 PECOS PAC ID: 5698043271 Enrollment ID: I20170623000000 |
Provider Name | Crystal Whitley Evans |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750810453 PECOS PAC ID: 6103196068 Enrollment ID: I20170725004062 |
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