| Medicine With Mercy And Grace | |
|
210 W Dale St Shelby NC 28150 | |
| (980) 295-9862 | |
| (704) 466-3494 |
| Full Name | Medicine With Mercy And Grace |
|---|---|
| Speciality | Clinic/Center |
| Location | 210 W Dale St, Shelby, North Carolina |
| Authorized Official Name and Position | Rebecca Jean Love (PRESIDENT) |
| Authorized Official Contact | 9802959862 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicine With Mercy And Grace 201 S Washington St Apt 401 Shelby NC 28150-2617 Ph: (980) 295-9862 | Medicine With Mercy And Grace 210 W Dale St Shelby NC 28150 Ph: (980) 295-9862 |
| NPI Number | 1508398553 |
|---|---|
| Provider Enumeration Date | 03/29/2017 |
| Last Update Date | 02/20/2021 |
| Medicare PECOS PAC ID | 9133498850 |
|---|---|
| Medicare Enrollment ID | O20170711003140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508398553 | NPI | - | NPPES |
| 89126G9 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 200000527 (North Carolina) | Primary |
| Provider Name | Rebecca Jean Love |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376594424 PECOS PAC ID: 9638165707 Enrollment ID: I20040423000145 |
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