| Cleveland Family Health, Pa | |
|
22 Shipwash Dr Garner NC 27529-6861 | |
| (919) 662-7600 | |
| (919) 662-7675 |
| Full Name | Cleveland Family Health, Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 22 Shipwash Dr, Garner, North Carolina |
| Authorized Official Name and Position | Janet Wilder Bowen (OWNER) |
| Authorized Official Contact | 9196627600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cleveland Family Health, Pa 22 Shipwash Dr Garner NC 27529-6861 Ph: (919) 662-7600 | Cleveland Family Health, Pa 22 Shipwash Dr Garner NC 27529-6861 Ph: (919) 662-7600 |
| NPI Number | 1811226871 |
|---|---|
| Provider Enumeration Date | 12/21/2009 |
| Last Update Date | 12/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811226871 | NPI | - | NPPES |
| 1858639 | Other | NC | UHC |
| 8917359 | Medicaid | NC | |
| 17359 | Other | NC | BCBS |
| 212959F | Other | NC | PTAN |
| 7807067 | Other | NC | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0032470 (North Carolina) | Primary |
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