Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 506 Nc 69, Hayesville, North Carolina |
Authorized Official Name and Position | Nick Townsend (CFO) |
Authorized Official Contact | 7064396469 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
35 Hospital Rd Blairsville GA 30512-3139 Ph: (828) 389-2273 | 506 Nc 69 Hayesville NC 28904 Ph: (828) 389-2273 |
NPI Number | 1093879744 |
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Provider Enumeration Date | 12/20/2006 |
Last Update Date | 07/16/2024 |
Medicare PECOS PAC ID | 0840196523 |
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Medicare Enrollment ID | O20150311002273 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093879744 | NPI | - | NPPES |
018ER | Other | NC | BCBS GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Phoenix Urgent Care,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2076 Us 69, Hayesville, NC 28904 Phone: 828-389-1617 Fax: 828-389-1640 | |