| |
107 Conner Dr Ste 100 Chapel Hill NC 27514-7111 | |
(919) 951-7600 | |
(919) 929-8474 |
Full Name | |
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Speciality | Clinic/Center |
Location | 107 Conner Dr Ste 100, Chapel Hill, North Carolina |
Authorized Official Name and Position | Lydia F Mason (CFO) |
Authorized Official Contact | 9199338494 |
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 17179 Chapel Hill NC 27516-7179 Ph: (919) 933-8494 | 107 Conner Dr Ste 100 Chapel Hill NC 27514-7111 Ph: (919) 951-7600 |
NPI Number | 1356712921 |
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Provider Enumeration Date | 10/08/2015 |
Last Update Date | 06/12/2019 |
Medicare PECOS PAC ID | 3476462102 |
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Medicare Enrollment ID | O20151023001954 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356712921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Preventative Wellness Solutions Iii Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Perkins Dr Ste 300, Chapel Hill, NC 27514 Phone: 919-364-3344 Fax: 919-364-0137 | |
Connection Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Willow Dr Ste 1, Chapel Hill, NC 27514 Phone: 919-307-9610 | |
Duke University Health System, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 Vilcom Center Dr Ste 101, Chapel Hill, NC 27514 Phone: 919-385-7680 Fax: 919-385-9554 | |