Kintegra At Woodhill Elementary | |
1027 Woodhill Dr Gastonia NC 28054-2466 | |
(704) 866-6295 | |
Not Available |
Full Name | Kintegra At Woodhill Elementary |
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Speciality | Clinic/Center |
Location | 1027 Woodhill Dr, Gastonia, North Carolina |
Authorized Official Name and Position | Sharmila Alexander Anderson (BUSINESS SERVICES ADMINISTRATOR) |
Authorized Official Contact | 7048741907 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kintegra At Woodhill Elementary 200 E 2nd Ave Gastonia NC 28052-4358 Ph: (704) 874-1904 | Kintegra At Woodhill Elementary 1027 Woodhill Dr Gastonia NC 28054-2466 Ph: (704) 866-6295 |
NPI Number | 1164084562 |
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Provider Enumeration Date | 07/05/2019 |
Last Update Date | 01/16/2020 |
Medicare PECOS PAC ID | 5496733925 |
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Medicare Enrollment ID | O20191014003120 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164084562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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