<unavail> in Wallace, NC - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Wallace, North Carolina. The current practice location for is 110 Eastwood Drive, Wallace, North Carolina. For appointments, you can reach them via phone at (910) 285-2330. The mailing address for is Po Box 187, Faison, North Carolina and phone number is (910) 267-0421.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1912022369. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (910) 285-2330.

Contact Information


	110 Eastwood Drive Wallace NC 28466-9236
	(910) 285-2330
	(910) 285-3060

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	110 Eastwood Drive, Wallace, North Carolina
Authorized Official Name and Position	Reba W. Futrell (EXECUTIVE ASSISTANT/CREDENTIALING)
Authorized Official Contact	9102678252
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 187 Faison NC 28341-0187 Ph: (910) 267-0421	110 Eastwood Drive Wallace NC 28466-9236 Ph: (910) 285-2330

NPI Details:

NPI Number	1912022369
Provider Enumeration Date	03/21/2007
Last Update Date	02/06/2012

Medicare PECOS Information:

Medicare PECOS PAC ID	3173434479
Medicare Enrollment ID	O20061106000143

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912022369	NPI	-	NPPES
344011A	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Wallace, NC

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Medical Village Dr, Ste G, Wallace, NC 28466 Phone: 910-285-0333
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Medical Village Dr Ste F, Wallace, NC 28466 Phone: 910-285-0940 Fax: 910-285-1825
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4266 S Nc Highway 11, Wallace, NC 28466 Phone: 910-267-1942
Blair Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 E Main St, Wallace, NC 28466 Phone: 910-285-3380
Daniel M Ricci M.d. P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 207 E Murphy St, Wallace, NC 28466 Phone: 910-285-4100 Fax: 910-285-4766
Po Powell Management Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Medical Village Dr Ste F, Wallace, NC 28466 Phone: 910-665-1780 Fax: 910-665-1780
Wallace Urgent Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 Medical Village Dr, Unit F, Wallace, NC 28466 Phone: 910-552-1580 Fax: 910-665-1780

- Medicare Primary Care in Wallace, NC