| Mass Immunizaton Services | |
|
101 Hunt St Oxford NC 27565-3414 | |
| (919) 693-2141 | |
| Not Available |
| Full Name | Mass Immunizaton Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Hunt St, Oxford, North Carolina |
| Authorized Official Name and Position | Shauna Leigh Guthrie (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9196932141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mass Immunizaton Services 101 Hunt St Po Box 367 Oxford NC 27565-3414 Ph: (919) 693-2141 | Mass Immunizaton Services 101 Hunt St Oxford NC 27565-3414 Ph: (919) 693-2141 |
| NPI Number | 1194871970 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 08/20/2019 |
| Medicare PECOS PAC ID | 6305934753 |
|---|---|
| Medicare Enrollment ID | O20090521000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194871970 | NPI | - | NPPES |
| 0721N | Other | BCBS GRANVILLE | |
| 3404416 | Medicaid | NC | |
| 3404391 | Medicaid | NC | |
| 3404339 | Medicaid | NC | |
| 0721P | Other | VANCE BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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