Lifebrite Family Medical & Urgent Care Of Pine Hall | |
3853 Us 311 Hwy N Pine Hall NC 27042-8184 | |
(336) 593-5311 | |
(336) 593-5350 |
Full Name | Lifebrite Family Medical & Urgent Care Of Pine Hall |
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Speciality | Clinic/Center |
Location | 3853 Us 311 Hwy N, Pine Hall, North Carolina |
Authorized Official Name and Position | Pamela Priddy Tillman (ADMINISTRATOR) |
Authorized Official Contact | 3365935314 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lifebrite Family Medical & Urgent Care Of Pine Hall 3853 Us 311 Hwy N Pine Hall NC 27042-8184 Ph: (336) 427-3076 | Lifebrite Family Medical & Urgent Care Of Pine Hall 3853 Us 311 Hwy N Pine Hall NC 27042-8184 Ph: (336) 593-5311 |
NPI Number | 1346775285 |
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Provider Enumeration Date | 04/28/2017 |
Last Update Date | 03/27/2019 |
Medicare PECOS PAC ID | 8921380759 |
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Medicare Enrollment ID | O20181113001550 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346775285 | NPI | - | NPPES |
H0165 | Other | NC | STATE LICENSURE |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | H0165 (North Carolina) | Primary |
261QU0200X | Clinic/center - Urgent Care | H0165 (North Carolina) | Secondary |