| Marion Medical Clinic | |
|
61 Logan Street Marion NC 28752-2856 | |
| (828) 442-2845 | |
| Not Available |
| Full Name | Marion Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 61 Logan Street, Marion, North Carolina |
| Authorized Official Name and Position | Kelli Banner (OWNER) |
| Authorized Official Contact | 8284422845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marion Medical Clinic 356 Burma Rd W Marion NC 28752-5277 Ph: (828) 442-2845 | Marion Medical Clinic 61 Logan Street Marion NC 28752-2856 Ph: (828) 442-2845 |
| NPI Number | 1831789817 |
|---|---|
| Provider Enumeration Date | 01/22/2021 |
| Last Update Date | 04/15/2024 |
| Medicare PECOS PAC ID | 7517373327 |
|---|---|
| Medicare Enrollment ID | O20210302002749 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831789817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Kelli Banner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598149775 PECOS PAC ID: 9537476239 Enrollment ID: I20171110002599 |
| Provider Name | Ashley Rebecca Hendrixon-ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447981212 PECOS PAC ID: 1557745312 Enrollment ID: I20220829002991 |
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Dr. F. J. Ragaz, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 231 E Court St, Marion, NC 28752 Phone: 828-652-4420 Fax: 828-652-5537 | |
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