| Metrolina Comprehensive Health Center, Inc | |
|
3333 Wilkinson Blvd Charlotte NC 28208-5631 | |
| (704) 391-0819 | |
| (704) 398-3173 |
| Full Name | Metrolina Comprehensive Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3333 Wilkinson Blvd, Charlotte, North Carolina |
| Authorized Official Name and Position | Debra Weeks (CEO) |
| Authorized Official Contact | 7043910819 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metrolina Comprehensive Health Center, Inc Po Box 668093 Charlotte NC 28266-8093 Ph: (704) 393-7720 | Metrolina Comprehensive Health Center, Inc 3333 Wilkinson Blvd Charlotte NC 28208-5631 Ph: (704) 391-0819 |
| NPI Number | 1558308080 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 10/12/2024 |
| Medicare PECOS PAC ID | 0345213625 |
|---|---|
| Medicare Enrollment ID | O20040816000395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558308080 | NPI | - | NPPES |
| 344507A | Medicaid | NC | |
| 344507C | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Guangbin Zeng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851332928 PECOS PAC ID: 8820093909 Enrollment ID: I20060922000557 |
| Provider Name | Jo Ann Taylor-parris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982621330 PECOS PAC ID: 8426156969 Enrollment ID: I20070607000341 |
| Provider Name | Jerry A Jones |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467417774 PECOS PAC ID: 4486746039 Enrollment ID: I20070827000848 |
| Provider Name | Ellores E Brailey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225134588 PECOS PAC ID: 8325103005 Enrollment ID: I20090212000227 |
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Kent Seitz Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1421 Orchard Lake Drive, Suite C, Charlotte, NC 28270 Phone: 704-844-0181 Fax: 904-701-6279 | |
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