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110 Dutchman Ct Elkin NC 28621-2237 | |
(336) 835-7337 | |
(336) 835-7301 |
Full Name | |
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Speciality | Clinic/Center |
Location | 110 Dutchman Ct, Elkin, North Carolina |
Authorized Official Name and Position | Alice Salthouse (CEO) |
Authorized Official Contact | 8282623886 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 1490 Boone NC 28607-1490 Ph: (828) 262-3886 | 110 Dutchman Ct Elkin NC 28621-2237 Ph: (336) 835-7337 |
NPI Number | 1336606938 |
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Provider Enumeration Date | 03/01/2019 |
Last Update Date | 01/03/2024 |
Medicare PECOS PAC ID | 8628225190 |
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Medicare Enrollment ID | O20190515000406 |
Identifier | Type | State | Issuer |
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1336606938 | NPI | - | NPPES |
1336606938 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Darryl B. Rhyne, Md, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 660 Parkwood Medical Park, Elkin, NC 28621 Phone: 336-526-4300 Fax: 336-526-5350 | |
Elkin Pediatric & Adult Medicine, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 124 Samaritans Ridge Rd, Elkin, NC 28621 Phone: 336-835-7700 Fax: 336-527-1071 | |