| Kintegra Behavioral Health - Mocksville | |
|
172 S Clement St Mocksville NC 27028-2336 | |
| (336) 753-6440 | |
| (336) 753-6990 |
| Full Name | Kintegra Behavioral Health - Mocksville |
|---|---|
| Speciality | Clinic/Center |
| Location | 172 S Clement St, Mocksville, 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 |
|---|---|
| Kintegra Behavioral Health - Mocksville 200 E 2nd Ave Gastonia NC 28052-4358 Ph: (704) 874-1904 | Kintegra Behavioral Health - Mocksville 172 S Clement St Mocksville NC 27028-2336 Ph: (336) 753-6440 |
| NPI Number | 1356802300 |
|---|---|
| Provider Enumeration Date | 03/30/2019 |
| Last Update Date | 02/10/2020 |
| Medicare PECOS PAC ID | 5496733925 |
|---|---|
| Medicare Enrollment ID | O20190731000221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356802300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Family Care Center Of Mocksville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Wilkesboro St Ste B, Mocksville, NC 27028 Phone: 336-753-0800 Fax: 336-753-0805 | |
Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 197 S Davie Dr, Mocksville, NC 27028 Phone: 336-751-5941 Fax: 336-751-5656 | |
Davie County Health Department & Home Health Agency Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 Hospital St, Mocksville, NC 27028 Phone: 336-753-6750 Fax: 336-751-0335 | |
Proactive Md Nc, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 Eaton Rd, Mocksville, NC 27028 Phone: 864-501-0751 | |
Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 477 Pinebrook School Rd, Mocksville, NC 27028 Phone: 336-998-3868 | |
Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3437 Us Highway 601 N, Mocksville, NC 27028 Phone: 336-492-5421 Fax: 336-492-2699 | |
Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 Martin Luther King Jr Rd, Mocksville, NC 27028 Phone: 336-751-5712 |