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603 E College St Warsaw NC 28398-2104 | |
| (910) 293-3900 | |
| (910) 293-6702 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 603 E College St, Warsaw, North Carolina |
| Authorized Official Name and Position | Reba W. Futrell (EXECUTIVE ASSISTANT CREDENTIALING) |
| Authorized Official Contact | 9102679997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 187 Faison NC 28341-0187 Ph: (910) 267-0421 | 603 E College St Warsaw NC 28398-2104 Ph: (910) 293-3900 |
| NPI Number | 1346365822 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 07/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346365822 | NPI | - | NPPES |
| 344594A | Medicaid | NC | |
| 014ER | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Pelican Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 E College St, Warsaw, NC 28398 Phone: 855-566-7246 Fax: 855-566-7246 |