| Ccc&ti Cobracare Clinic | |
|
2855 Hickory Blvd Hudson NC 28638-2672 | |
| (828) 726-2733 | |
| (828) 754-2418 |
| Full Name | Ccc&ti Cobracare Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2855 Hickory Blvd, Hudson, North Carolina |
| Authorized Official Name and Position | Thomas Benjamin Mcrary (CEO) |
| Authorized Official Contact | 8287542409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccc&ti Cobracare Clinic Po Box 9 Collettsville NC 28611-0009 Ph: (828) 754-2409 | Ccc&ti Cobracare Clinic 2855 Hickory Blvd Hudson NC 28638-2672 Ph: (828) 726-2733 |
| NPI Number | 1992733570 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 12/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992733570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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