| Inspirational Community Health Center, Llc | |
|
801 Summit Ave Ste 1 Greensboro NC 27405-7813 | |
| (336) 646-2000 | |
| Not Available |
| Full Name | Inspirational Community Health Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 801 Summit Ave Ste 1, Greensboro, North Carolina |
| Authorized Official Name and Position | Lovika Horton (OWNER) |
| Authorized Official Contact | 3366462000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspirational Community Health Center, Llc 801 Summit Ave Ste 1 Greensboro NC 27405-7813 Ph: (336) 646-2000 | Inspirational Community Health Center, Llc 801 Summit Ave Ste 1 Greensboro NC 27405-7813 Ph: (336) 646-2000 |
| NPI Number | 1710551262 |
|---|---|
| Provider Enumeration Date | 05/19/2021 |
| Last Update Date | 05/04/2022 |
| Medicare PECOS PAC ID | 9931505443 |
|---|---|
| Medicare Enrollment ID | O20210909000321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710551262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Sheikh Tejan-sie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346237617 PECOS PAC ID: 2264338524 Enrollment ID: I20050629000010 |
| Provider Name | Donna F Odem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205850054 PECOS PAC ID: 3072612092 Enrollment ID: I20070615000332 |
| Provider Name | Bradley Allan Mcabee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760613319 PECOS PAC ID: 4183807217 Enrollment ID: I20130323000089 |
| Provider Name | Lovika L Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235530825 PECOS PAC ID: 5890002117 Enrollment ID: I20160120001829 |
| Provider Name | Shirley C Carrenard-mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972860930 PECOS PAC ID: 8123312956 Enrollment ID: I20170830004008 |
| Provider Name | Anne Savarese Depasquale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730479379 PECOS PAC ID: 2163641655 Enrollment ID: I20210427001215 |
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