Family Centered Healthcare, Pa | |
400 Millstone Drive Hillsborough NC 27278-9007 | |
(919) 245-3247 | |
(919) 732-3864 |
Full Name | Family Centered Healthcare, Pa |
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Speciality | Family Medicine |
Location | 400 Millstone Drive, Hillsborough, North Carolina |
Authorized Official Name and Position | Anissa Vines (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 9192453247 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Centered Healthcare, Pa P.o. Box 1119 Hillsborough NC 27278-1119 Ph: (919) 245-3247 | Family Centered Healthcare, Pa 400 Millstone Drive Hillsborough NC 27278-9007 Ph: (919) 245-3247 |
NPI Number | 1679728216 |
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Provider Enumeration Date | 11/24/2008 |
Last Update Date | 02/20/2020 |
Medicare PECOS PAC ID | 9739245150 |
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Medicare Enrollment ID | O20090309000640 |
Identifier | Type | State | Issuer |
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1679728216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Dain E Vines |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306959614 PECOS PAC ID: 5395635072 Enrollment ID: I20040317000419 |
Provider Name | Tara Ann Walhart |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346532397 PECOS PAC ID: 6901112119 Enrollment ID: I20180317000031 |