| |
33270 Us 264 Engelhard NC 27824-0277 | |
(252) 925-7000 | |
(252) 925-7700 |
Full Name | |
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Speciality | Clinic/Center |
Location | 33270 Us 264, Engelhard, North Carolina |
Authorized Official Name and Position | Jamie Carter (REVENUE CYCLE MANAGER) |
Authorized Official Contact | 2529250058 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 277 Engelhard NC 27824-0277 Ph: (252) 925-7000 | 33270 Us 264 Engelhard NC 27824-0277 Ph: (252) 925-7000 |
NPI Number | 1063472116 |
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Provider Enumeration Date | 03/24/2006 |
Last Update Date | 01/02/2025 |
Medicare PECOS PAC ID | 8224221973 |
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Medicare Enrollment ID | O20230515002314 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063472116 | NPI | - | NPPES |
017N7 | Other | NC | BCBS NC |
56162 | Other | NC | MEDCOST |
5913132 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |