| Pardee Bluemd-6503 Brevard Road | |
|
6503 Brevard Rd Etowah NC 28729-8739 | |
| (828) 890-4156 | |
| (828) 891-9276 |
| Full Name | Pardee Bluemd-6503 Brevard Road |
|---|---|
| Speciality | Clinic/Center |
| Location | 6503 Brevard Rd, Etowah, North Carolina |
| Authorized Official Name and Position | Michael Lynn Sunday (VP, CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8286961175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pardee Bluemd-6503 Brevard Road 5221 Paramount Pkwy Ste 440 Morrisville NC 27560-5491 Ph: (984) 974-1190 | Pardee Bluemd-6503 Brevard Road 6503 Brevard Rd Etowah NC 28729-8739 Ph: (828) 890-4156 |
| NPI Number | 1609515220 |
|---|---|
| Provider Enumeration Date | 06/01/2022 |
| Last Update Date | 05/11/2023 |
| Medicare PECOS PAC ID | 8123938115 |
|---|---|
| Medicare Enrollment ID | O20221110003085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609515220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
Country Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Etowah School Road, Etowah, NC 28729 Phone: 828-890-3200 Fax: 828-890-3223 | |
Pardee Hendersonville Family Health Center-etowah Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6503 Brevard Rd, Etowah, NC 28729 Phone: 828-890-4156 |