| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 137 Notalee St, Newland, North Carolina |
| Authorized Official Name and Position | Robert Dale Clark (PRESIDENT) |
| Authorized Official Contact | 8285283009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 58 Crossnore NC 28616-0058 Ph: (828) 528-3009 | 137 Notalee St Newland NC 28657 Ph: (828) 528-3009 |
| NPI Number | 1306845573 |
|---|---|
| Provider Enumeration Date | 07/19/2005 |
| Last Update Date | 08/20/2018 |
| Medicare PECOS PAC ID | 6507849965 |
|---|---|
| Medicare Enrollment ID | O20040608001098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306845573 | NPI | - | NPPES |
| 89013VR | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0098-01210 (North Carolina) | Primary |
High Country Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 504 Pineola St, Newland, NC 28657 Phone: 828-742-1018 Fax: 828-742-1024 |