| First Choice Community Health Centers | |
|
40 Autumn Fern Trail Lillington NC 27546-9998 | |
| (910) 893-5402 | |
| (910) 893-2567 |
| Full Name | First Choice Community Health Centers |
|---|---|
| Speciality | General Practice |
| Location | 40 Autumn Fern Trail, Lillington, North Carolina |
| Authorized Official Name and Position | Sheila L Simmons (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9103640971 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Choice Community Health Centers 40 Autumn Fern Trl Lillington NC 27546-5155 Ph: (910) 364-0971 | First Choice Community Health Centers 40 Autumn Fern Trail Lillington NC 27546-9998 Ph: (910) 893-5402 |
| NPI Number | 1083971279 |
|---|---|
| Provider Enumeration Date | 04/12/2012 |
| Last Update Date | 04/27/2018 |
| Medicare PECOS PAC ID | 0941276133 |
|---|---|
| Medicare Enrollment ID | O20040908001617 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083971279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Marvin Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861427825 PECOS PAC ID: 4688724644 Enrollment ID: I20090612000204 |
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