Creswell Primary Care | |
9500 Nc Highway 94 N Creswell NC 27928-8300 | |
(252) 797-0135 | |
(833) 755-1237 |
Full Name | Creswell Primary Care |
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Speciality | Clinic/Center |
Location | 9500 Nc Highway 94 N, Creswell, North Carolina |
Authorized Official Name and Position | Stephanie A Wroten (INTERIM, CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 2522090237 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Creswell Primary Care Po Box 669 Ahoskie NC 27910-0669 Ph: (252) 209-0237 | Creswell Primary Care 9500 Nc Highway 94 N Creswell NC 27928-8300 Ph: (252) 797-0135 |
NPI Number | 1619342706 |
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Provider Enumeration Date | 12/01/2015 |
Last Update Date | 06/12/2024 |
Medicare PECOS PAC ID | 7214983386 |
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Medicare Enrollment ID | O20161121000178 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619342706 | NPI | - | NPPES |
02CEK | Other | NC | BCBS OF NORTH CAROLINA |
1619342706 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Nancy Arleen Vanhoozer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831516368 PECOS PAC ID: 7719110519 Enrollment ID: I20160531000550 |
Provider Name | Claudia Richardson |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1104888437 PECOS PAC ID: 7416924493 Enrollment ID: I20180808001921 |
Washington County Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9500 Nc Highway 94 North, Creswell, NC 27928 Phone: 252-797-3869 Fax: 252-797-3889 |