| Northern Outreach Clinic | |
|
120 Charles Rollins Rd. Suite 205 Henderson NC 27536-2882 | |
| (252) 572-2610 | |
| (252) 572-2621 |
| Full Name | Northern Outreach Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 Charles Rollins Rd., Henderson, North Carolina |
| Authorized Official Name and Position | Michelle Denise Collins-ogle (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2525722610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Outreach Clinic 120 Charles Rollins Rd. Suite 205 Henderson NC 27536-2882 Ph: (252) 572-2610 | Northern Outreach Clinic 120 Charles Rollins Rd. Suite 205 Henderson NC 27536-2882 Ph: (252) 572-2610 |
| NPI Number | 1558652784 |
|---|---|
| Provider Enumeration Date | 04/21/2011 |
| Last Update Date | 11/08/2024 |
| Medicare PECOS PAC ID | 0042445835 |
|---|---|
| Medicare Enrollment ID | O20131104000012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558652784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Secondary |
| 261QC1500X | Clinic/center - Community Health | 1077723 (North Carolina) | Primary |
| Provider Name | Michelle Collins Ogle |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336275403 PECOS PAC ID: 8224108170 Enrollment ID: I20080603000867 |
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