| Kintegra At St. Stephens High | |
|
3205 34th Street Dr Ne Hickory NC 28601-7702 | |
| (828) 256-9841 | |
| (828) 256-7159 |
| Full Name | Kintegra At St. Stephens High |
|---|---|
| Speciality | Clinic/Center |
| Location | 3205 34th Street Dr Ne, Hickory, 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 |
|---|---|
| Kintegra At St. Stephens High 200 E 2nd Ave Gastonia NC 28052-4358 Ph: (704) 874-1900 | Kintegra At St. Stephens High 3205 34th Street Dr Ne Hickory NC 28601-7702 Ph: (828) 256-9841 |
| NPI Number | 1679118228 |
|---|---|
| Provider Enumeration Date | 11/07/2019 |
| Last Update Date | 12/20/2019 |
| Medicare PECOS PAC ID | 5496733925 |
|---|---|
| Medicare Enrollment ID | O20200326003555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679118228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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