Kintegra At South Newton Elementary | |
306 W I St Newton NC 28658-3534 | |
(828) 464-4061 | |
(828) 464-7528 |
Full Name | Kintegra At South Newton Elementary |
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Speciality | Clinic/Center |
Location | 306 W I St, Newton, 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 South Newton Elementary 200 E 2nd Ave Gastonia NC 28052-4358 Ph: (704) 874-1907 | Kintegra At South Newton Elementary 306 W I St Newton NC 28658-3534 Ph: (828) 464-4061 |
NPI Number | 1578043113 |
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Provider Enumeration Date | 08/14/2018 |
Last Update Date | 01/15/2020 |
Medicare PECOS PAC ID | 5496733925 |
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Medicare Enrollment ID | O20200327002773 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578043113 | 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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