| Famhealth Primary Care , Pa | |
|
5720 Creedmoor Rd Raleigh NC 27612-2256 | |
| (919) 782-0430 | |
| Not Available |
| Full Name | Famhealth Primary Care , Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 5720 Creedmoor Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Enid Matos Tallmer (PRESIDENT) |
| Authorized Official Contact | 9196975388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Famhealth Primary Care , Pa 5720 Creedmoor Rd Raleigh NC 27612-2256 Ph: (919) 782-0430 | Famhealth Primary Care , Pa 5720 Creedmoor Rd Raleigh NC 27612-2256 Ph: (919) 782-0430 |
| NPI Number | 1568916617 |
|---|---|
| Provider Enumeration Date | 08/06/2016 |
| Last Update Date | 08/06/2016 |
| Medicare PECOS PAC ID | 3476837600 |
|---|---|
| Medicare Enrollment ID | O20170307000542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568916617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | C2016204005421 (North Carolina) | Primary |
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