| Crossroads Family Medical Care P.a. | |
|
3121 Plateau Rd Newton NC 28658-8900 | |
| (704) 276-9200 | |
| (704) 276-9300 |
| Full Name | Crossroads Family Medical Care P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 3121 Plateau Rd, Newton, North Carolina |
| Authorized Official Name and Position | Bill Jack Parker (OWNER/PRESIDENT) |
| Authorized Official Contact | 7042769200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Family Medical Care P.a. 3121 Plateau Rd Newton NC 28658-8900 Ph: (704) 276-9200 | Crossroads Family Medical Care P.a. 3121 Plateau Rd Newton NC 28658-8900 Ph: (704) 276-9200 |
| NPI Number | 1063692515 |
|---|---|
| Provider Enumeration Date | 11/13/2007 |
| Last Update Date | 11/10/2009 |
| Medicare PECOS PAC ID | 3870666761 |
|---|---|
| Medicare Enrollment ID | O20080725000329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063692515 | NPI | - | NPPES |
| 7965234 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 38402 (North Carolina) | Primary |
| Provider Name | Bill J Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407854441 PECOS PAC ID: 2062585946 Enrollment ID: I20080725000321 |
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