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110 Hilltop Street Rutherford College NC 28671-0070 | |
(828) 874-4600 | |
(828) 874-8900 |
Full Name | |
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Speciality | Family Medicine |
Location | 110 Hilltop Street, Rutherford College, North Carolina |
Authorized Official Name and Position | John Clements Betancourt (OWNER/PRESIDENT) |
Authorized Official Contact | 8288744600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 70 Rutherford College NC 28671-0070 Ph: (828) 874-4600 | 110 Hilltop Street Rutherford College NC 28671-0070 Ph: (828) 874-4600 |
NPI Number | 1457503880 |
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Provider Enumeration Date | 10/16/2008 |
Last Update Date | 10/03/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457503880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 9800014 (North Carolina) | Primary |
291U00000X | Clinical Medical Laboratory | 34D1038246 (North Carolina) | Secondary |
Jamie S. Young, Md, Phd, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 560 Malcolm Blvd., Suite G-2, Rutherford College, NC 28671 Phone: 828-879-4567 | |
Valdese Family Practice, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 99 Griffin Street, Rutherford College, NC 28671 Phone: 828-874-1316 Fax: 828-874-1092 |