| Faith Primary Care Rural Health | |
|
431 S Main St Ste 5 Rutherfordton NC 28139-2949 | |
| (910) 557-5672 | |
| (910) 557-5675 |
| Full Name | Faith Primary Care Rural Health |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 431 S Main St Ste 5, Rutherfordton, North Carolina |
| Authorized Official Name and Position | Ngonda'yebenit Nzelle Ngo Mayeba (OWNER) |
| Authorized Official Contact | 9105362272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith Primary Care Rural Health 431 S Main St Ste 5 Rutherfordton NC 28139-2949 Ph: (910) 557-5672 | Faith Primary Care Rural Health 431 S Main St Ste 5 Rutherfordton NC 28139-2949 Ph: (910) 557-5672 |
| NPI Number | 1942934856 |
|---|---|
| Provider Enumeration Date | 07/15/2022 |
| Last Update Date | 05/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942934856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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