| Family Healthcare Practice Pllc | |
|
130 1st St W Conover NC 28613-2106 | |
| (828) 466-3000 | |
| Not Available |
| Full Name | Family Healthcare Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 130 1st St W, Conover, North Carolina |
| Authorized Official Name and Position | Thomas E Goodin (MD) |
| Authorized Official Contact | 8284663000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Healthcare Practice Pllc 130 1st St W Conover NC 28613-2106 Ph: (828) 466-3000 | Family Healthcare Practice Pllc 130 1st St W Conover NC 28613-2106 Ph: (828) 466-3000 |
| NPI Number | 1134311723 |
|---|---|
| Provider Enumeration Date | 08/16/2007 |
| Last Update Date | 03/22/2012 |
| Medicare PECOS PAC ID | 6800977109 |
|---|---|
| Medicare Enrollment ID | O20080111000707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134311723 | NPI | - | NPPES |
| 36195 | Other | NC | BCBS |
| 5915750 | Medicaid | NC | |
| 8936195 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 15357 (North Carolina) | Primary |
| Provider Name | Kimberly H Cline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265579833 PECOS PAC ID: 5698755205 Enrollment ID: I20040723000587 |
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