| Oic Family Medical Center At Community Health Plaza | |
|
1041 Noell Ln Medical Plaza B Rocky Mount NC 27804-2058 | |
| (252) 962-3450 | |
| (252) 962-3451 |
| Full Name | Oic Family Medical Center At Community Health Plaza |
|---|---|
| Speciality | Clinic/Center |
| Location | 1041 Noell Ln, Rocky Mount, North Carolina |
| Authorized Official Name and Position | Reuben Blackwell (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2522123480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oic Family Medical Center At Community Health Plaza Po Box 2723 Rocky Mount NC 27802-2723 Ph: (252) 962-3450 | Oic Family Medical Center At Community Health Plaza 1041 Noell Ln Medical Plaza B Rocky Mount NC 27804-2058 Ph: (252) 962-3450 |
| NPI Number | 1750734307 |
|---|---|
| Provider Enumeration Date | 07/19/2016 |
| Last Update Date | 12/13/2016 |
| Medicare PECOS PAC ID | 3173563590 |
|---|---|
| Medicare Enrollment ID | O20170224000627 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750734307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (North Carolina) | Primary |
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