| Denton Healthcare Pllc | |
|
18539 S Nc Highway 109 Denton NC 27239-7713 | |
| (336) 859-5001 | |
| (336) 859-1952 |
| Full Name | Denton Healthcare Pllc |
|---|---|
| Speciality | General Practice |
| Location | 18539 S Nc Highway 109, Denton, North Carolina |
| Authorized Official Name and Position | Clifton Ayres Baker (CO-OWNER) |
| Authorized Official Contact | 3368595001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Denton Healthcare Pllc 18539 S Nc Highway 109 Denton NC 27239-7713 Ph: (336) 859-5001 | Denton Healthcare Pllc 18539 S Nc Highway 109 Denton NC 27239-7713 Ph: (336) 859-5001 |
| NPI Number | 1891959094 |
|---|---|
| Provider Enumeration Date | 07/16/2008 |
| Last Update Date | 08/29/2019 |
| Medicare PECOS PAC ID | 0941378475 |
|---|---|
| Medicare Enrollment ID | O20081009000792 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891959094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Clifton A Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053370098 PECOS PAC ID: 6406830959 Enrollment ID: I20040614001319 |
| Provider Name | Helen Blackburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932215563 PECOS PAC ID: 5294736005 Enrollment ID: I20070122000554 |
| Provider Name | J Ruth Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467178830 PECOS PAC ID: 8628437449 Enrollment ID: I20230711001905 |