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318 Turnersburg Hwy Statesville NC 28625-2798 | |
(704) 878-5300 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 318 Turnersburg Hwy, Statesville, North Carolina |
Authorized Official Name and Position | Sharmila Alexander Anderson (BUSINESS SERVICE 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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200 E 2nd Ave Gastonia NC 28052-4358 Ph: (704) 874-1904 | 318 Turnersburg Hwy Statesville NC 28625-2798 Ph: (704) 878-5300 |
NPI Number | 1225599426 |
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Provider Enumeration Date | 03/29/2019 |
Last Update Date | 01/16/2020 |
Medicare PECOS PAC ID | 5496733925 |
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Medicare Enrollment ID | O20190830001484 |
Identifier | Type | State | Issuer |
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1225599426 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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