| Commwell Health Of Building Bridges | |
|
417 Vance St Unit B Clinton NC 28328-4001 | |
| (910) 567-7107 | |
| (910) 299-0486 |
| Full Name | Commwell Health Of Building Bridges |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 417 Vance St Unit B, Clinton, 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 |
|---|---|
| Commwell Health Of Building Bridges Po Box 340 Four Oaks NC 27524-0340 Ph: (910) 567-6194 | Commwell Health Of Building Bridges 417 Vance St Unit B Clinton NC 28328-4001 Ph: (910) 567-7107 |
| NPI Number | 1134422041 |
|---|---|
| Provider Enumeration Date | 12/15/2010 |
| Last Update Date | 04/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134422041 | NPI | - | NPPES |
| 2804165 | Other | NC | MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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