| Holton Clinic | |
|
401 N Driver St Durham NC 27703-3007 | |
| (919) 530-8210 | |
| (919) 530-8309 |
| Full Name | Holton Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 401 N Driver St, Durham, North Carolina |
| Authorized Official Name and Position | Claretta Foye (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9199564022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holton Clinic Po Box 52119 Durham NC 27717-2119 Ph: (919) 956-4000 | Holton Clinic 401 N Driver St Durham NC 27703-3007 Ph: (919) 530-8210 |
| NPI Number | 1376770537 |
|---|---|
| Provider Enumeration Date | 06/16/2009 |
| Last Update Date | 07/28/2022 |
| Medicare PECOS PAC ID | 4587642590 |
|---|---|
| Medicare Enrollment ID | O20091104000434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376770537 | NPI | - | NPPES |
| 344500C | Medicaid | NC | |
| 344500A | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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