| Community Family Practice, Pa | |
|
260 Merrimon Ave Ste 200 Asheville NC 28801-1243 | |
| (828) 254-2444 | |
| (828) 254-0660 |
| Full Name | Community Family Practice, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 260 Merrimon Ave, Asheville, North Carolina |
| Authorized Official Name and Position | James Alan Haaksma (OWNER) |
| Authorized Official Contact | 8282542444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Family Practice, Pa Po Box 449 Sylva NC 28779-0449 Ph: (828) 254-2444 | Community Family Practice, Pa 260 Merrimon Ave Ste 200 Asheville NC 28801-1243 Ph: (828) 254-2444 |
| NPI Number | 1164493615 |
|---|---|
| Provider Enumeration Date | 01/31/2006 |
| Last Update Date | 09/09/2015 |
| Medicare PECOS PAC ID | 3072562990 |
|---|---|
| Medicare Enrollment ID | O20050118001042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164493615 | NPI | - | NPPES |
| 10153C | Other | NC | BCBS NC |
| 34D0248382 | Other | NC | CLIA # |
| CA7472 | Other | NC | RR MEDICARE |
| L299 | Other | NC | BLUE MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 40981 (North Carolina) | Primary |
| Provider Name | Lauren S Livingston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427091222 PECOS PAC ID: 3779635297 Enrollment ID: I20090714000768 |
| Provider Name | James A Haaksma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235101452 PECOS PAC ID: 5890744718 Enrollment ID: I20100204000323 |
| Provider Name | Robert S Kline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174595425 PECOS PAC ID: 1456456763 Enrollment ID: I20100218000514 |
| Provider Name | Rhett Churchill Mays |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366617136 PECOS PAC ID: 0648302083 Enrollment ID: I20100720000710 |
| Provider Name | Emily L Mahowald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225370646 PECOS PAC ID: 4981842143 Enrollment ID: I20130529000515 |
| Provider Name | Rebecca Helen Cramer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932494937 PECOS PAC ID: 0446406607 Enrollment ID: I20140930001332 |
| Provider Name | Bruce Anthony Ulrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851686877 PECOS PAC ID: 6800042508 Enrollment ID: I20141030002474 |
| Provider Name | Amber Bridget Albritton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679919765 PECOS PAC ID: 9133361686 Enrollment ID: I20150722004974 |
| Provider Name | Mary Elizabeth Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457646499 PECOS PAC ID: 7810153038 Enrollment ID: I20150826001038 |
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