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102 W Southern Ave Raeford NC 28376-3218 | |
(910) 565-5110 | |
(910) 321-8779 |
Full Name | |
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Speciality | Clinic/Center |
Location | 102 W Southern Ave, Raeford, North Carolina |
Authorized Official Name and Position | Gregory M Bounds (CEO) |
Authorized Official Contact | 9102671237 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 187 Faison NC 28341-0187 Ph: (910) 267-0421 | 102 W Southern Ave Raeford NC 28376-3218 Ph: (910) 565-5110 |
NPI Number | 1285291211 |
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Provider Enumeration Date | 05/24/2019 |
Last Update Date | 10/06/2021 |
Medicare PECOS PAC ID | 3173434479 |
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Medicare Enrollment ID | O20190731003009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285291211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Cvs Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Cole Avenue, Raeford, NC 28376 Phone: 910-875-8501 | |
Hoke Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Medical Pavilion Drive, Raeford, NC 28376 Phone: 910-904-8000 | |
Tarheel Foot & Specialty Care, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 Birch St, Suite B, Raeford, NC 28376 Phone: 910-904-6600 Fax: 910-904-1810 |