| Opportunities Industrialization Center, Inc | |
|
2309 Sunset Ave Rocky Mount NC 27804-2529 | |
| (252) 210-9856 | |
| Not Available |
| Full Name | Opportunities Industrialization Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2309 Sunset Ave, Rocky Mount, North Carolina |
| Authorized Official Name and Position | Shirley Monk-jones (BILLING MANAGER) |
| Authorized Official Contact | 2522123486 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Opportunities Industrialization Center, Inc Po Box 2723 Rocky Mount NC 27802-2723 Ph: (252) 212-6802 | Opportunities Industrialization Center, Inc 2309 Sunset Ave Rocky Mount NC 27804-2529 Ph: (252) 210-9856 |
| NPI Number | 1578219424 |
|---|---|
| Provider Enumeration Date | 03/01/2022 |
| Last Update Date | 03/01/2022 |
| Medicare PECOS PAC ID | 3173563590 |
|---|---|
| Medicare Enrollment ID | O20221009000067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578219424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Tisa O Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942342159 PECOS PAC ID: 7719088624 Enrollment ID: I20070723000339 |
| Provider Name | Benessa Mitchell Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124679683 PECOS PAC ID: 8224460720 Enrollment ID: I20191122000003 |
| Provider Name | Tonya Denise Hasty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346965324 PECOS PAC ID: 1759759087 Enrollment ID: I20221117002225 |
Mdfamily Medical Group, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Sunset Ave, Rocky Mount, NC 27804 Phone: 704-527-6322 | |
Kroncke Wound Management Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 156 Candlewood Rd, Rocky Mount, NC 27804 Phone: 252-903-3124 | |
Better Days Ahead Of Rocky Mount Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1107 N Fairview Rd, Rocky Mount, NC 27801 Phone: 252-972-4080 Fax: 252-972-3380 | |
Eastern North Carolina Medical Group, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 N Wesleyan Blvd, Rocky Mount, NC 27804 Phone: 252-985-5187 Fax: 252-451-2702 | |
Kumar Internal Medicine Assoc. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 N Englewood Dr, Rocky Mount, NC 27804 Phone: 252-443-1126 Fax: 252-443-1126 | |
Oic Williford School Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Williford St, Rocky Mount, NC 27803 Phone: 252-210-9856 Fax: 252-822-5065 | |
Nettoc Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3661 Sunset Ave, Rocky Mount, NC 27804 Phone: 888-671-5273 Fax: 800-604-5503 |