Hildebran Medical Clinic, Llc | |
107 S Center St Hildebran NC 28637-8304 | |
(828) 397-3522 | |
(828) 397-5271 |
Full Name | Hildebran Medical Clinic, Llc |
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Speciality | Family Medicine |
Location | 107 S Center St, Hildebran, North Carolina |
Authorized Official Name and Position | Ilar Davidson (OFFICE MANAGER) |
Authorized Official Contact | 8283973522 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hildebran Medical Clinic, Llc Po Box 829 Hildebran NC 28637-0829 Ph: (828) 397-3522 | Hildebran Medical Clinic, Llc 107 S Center St Hildebran NC 28637-8304 Ph: (828) 397-3522 |
NPI Number | 1598765935 |
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Provider Enumeration Date | 07/28/2005 |
Last Update Date | 04/07/2020 |
Medicare PECOS PAC ID | 2365481397 |
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Medicare Enrollment ID | O20050428001246 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598765935 | NPI | - | NPPES |
790274T | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 33531 (North Carolina) | Primary |
Provider Name | Gary Martin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750329918 PECOS PAC ID: 8224139050 Enrollment ID: I20070724000531 |
Provider Name | Aaron Vu Swisher |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255331609 PECOS PAC ID: 8729273453 Enrollment ID: I20101108001189 |
Provider Name | Amy N Neal |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306371521 PECOS PAC ID: 6709154289 Enrollment ID: I20170626001802 |
Provider Name | Lisa Greene |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346811411 PECOS PAC ID: 6608274832 Enrollment ID: I20211001001807 |