| |
929 15th St Ne Ste 100 Hickory NC 28601-4162 | |
(828) 327-6026 | |
(828) 327-8796 |
Full Name | |
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Speciality | Family Medicine |
Location | 929 15th St Ne Ste 100, Hickory, North Carolina |
Authorized Official Name and Position | Julie Walker (CEO) |
Authorized Official Contact | 8282563436 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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4330 Viola Sipe Dr Conover NC 28613-8839 Ph: (828) 256-3436 | 929 15th St Ne Ste 100 Hickory NC 28601-4162 Ph: (828) 327-6026 |
NPI Number | 1194351536 |
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Provider Enumeration Date | 03/17/2020 |
Last Update Date | 12/03/2020 |
Medicare PECOS PAC ID | 5890100143 |
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Medicare Enrollment ID | O20210218000629 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194351536 | NPI | - | NPPES |
6005415 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Belynda Roxanne Price |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891466348 PECOS PAC ID: 2567852189 Enrollment ID: I20211214000487 |
Provider Name | Katherine M Tadlock |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1952952830 PECOS PAC ID: 5890132799 Enrollment ID: I20240327003334 |
Provider Name | Kristen R Seese |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1689197923 PECOS PAC ID: 4880032242 Enrollment ID: I20240403003982 |
Provider Name | Deana P Simmons |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1073388054 PECOS PAC ID: 9032557400 Enrollment ID: I20240404000068 |
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