| |
405 S Main St Raeford NC 28376-3222 | |
(910) 615-5800 | |
(910) 875-0309 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 405 S Main St, Raeford, North Carolina |
Authorized Official Name and Position | Joseph B Fiser (VP MANAGED CARE AND REVENUE CYCLE) |
Authorized Official Contact | 9106155572 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 40908 Fayetteville NC 28309-0908 Ph: (910) 609-6949 | 405 S Main St Raeford NC 28376-3222 Ph: (910) 615-5800 |
NPI Number | 1447255328 |
---|---|
Provider Enumeration Date | 06/16/2005 |
Last Update Date | 12/26/2023 |
Medicare PECOS PAC ID | 1850204041 |
---|---|
Medicare Enrollment ID | O20031119000852 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447255328 | NPI | - | NPPES |
343422A | Medicaid | NC | |
790285H | Medicaid | NC | |
343422C | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Cvs Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Cole Avenue, Raeford, NC 28376 Phone: 910-875-8501 | |
Hoke Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Medical Pavilion Drive, Raeford, NC 28376 Phone: 910-904-8000 | |
Tarheel Foot & Specialty Care, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 Birch St, Suite B, Raeford, NC 28376 Phone: 910-904-6600 Fax: 910-904-1810 | |