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1525 Ocean Isle Beach Road Unit 2 Ocean Isle Beach NC 28469-5797 | |
| (877) 935-5255 | |
| (910) 236-2118 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1525 Ocean Isle Beach Road, Ocean Isle Beach, North Carolina |
| Authorized Official Name and Position | William C Ellison (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 9105677065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 340 Four Oaks NC 27524-0340 Ph: (910) 567-6194 | 1525 Ocean Isle Beach Road Unit 2 Ocean Isle Beach NC 28469-5797 Ph: (877) 935-5255 |
| NPI Number | 1538476973 |
|---|---|
| Provider Enumeration Date | 09/07/2010 |
| Last Update Date | 03/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538476973 | NPI | - | NPPES |
| 344040D | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Rebecca L Summerlin Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Causeway Dr Sw, Ste 3, Ocean Isle Beach, NC 28469 Phone: 910-575-5242 Fax: 910-575-5245 | |
Tri County Community Health Council Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6934 Beach Dr Sw Ste 1, Ocean Isle Beach, NC 28469 Phone: 910-579-1300 Fax: 910-579-9625 | |
Ocean Isle Beach Family Medicine. Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 Causeway Dr Ste 3, Ocean Isle Beach, NC 28469 Phone: 910-575-5004 Fax: 855-575-0700 | |