| |
908 N Us Highway 421 Clinton NC 28328-0410 | |
(910) 267-0951 | |
(910) 267-0954 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 908 N Us Highway 421, Clinton, North Carolina |
Authorized Official Name and Position | Tammy M Howard (SITE LEADER) |
Authorized Official Contact | 9102670951 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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908 Us Hwy 421 N Clinton NC 28328-0410 Ph: (910) 299-0991 | 908 N Us Highway 421 Clinton NC 28328-0410 Ph: (910) 267-0951 |
NPI Number | 1477878874 |
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Provider Enumeration Date | 03/30/2010 |
Last Update Date | 05/11/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477878874 | NPI | - | NPPES |
5914123 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Sampson Regional Professional Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 607 Beaman St, Clinton, NC 28328 Phone: 910-592-8511 Fax: 910-596-5430 | |
Total Health Internal Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 Beaman St, Unit 606, Clinton, NC 28328 Phone: 910-596-0061 Fax: 910-596-0062 |