| Penslow Medical Center | |
|
206 N Dyson St Holly Ridge NC 28445 | |
| (910) 329-7591 | |
| (910) 329-1592 |
| Full Name | Penslow Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 206 N Dyson St, Holly Ridge, North Carolina |
| Authorized Official Name and Position | Cheryl B Hines (OFFICE MANAGER) |
| Authorized Official Contact | 9103297591 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Penslow Medical Center Po Box 159 Holly Ridge NC 28445 Ph: (910) 329-7591 | Penslow Medical Center 206 N Dyson St Holly Ridge NC 28445 Ph: (910) 329-7591 |
| NPI Number | 1093813842 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 04/16/2008 |
| Medicare PECOS PAC ID | 2860590437 |
|---|---|
| Medicare Enrollment ID | O20070913000577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093813842 | NPI | - | NPPES |
| 3438034A | Medicaid | NC | |
| 313803C | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Linda I Greenspan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528099462 PECOS PAC ID: 9436245453 Enrollment ID: I20071022000353 |
| Provider Name | Patricia A Odham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750457024 PECOS PAC ID: 9234237801 Enrollment ID: I20071109000131 |
| Provider Name | Gail L Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083656698 PECOS PAC ID: 2466480611 Enrollment ID: I20081115000193 |
| Provider Name | Christopher Rowland Mckibbin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386088607 PECOS PAC ID: 1153636865 Enrollment ID: I20160815002671 |
| Provider Name | Casey Glenn Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316385545 PECOS PAC ID: 5698909976 Enrollment ID: I20160817001700 |
Holly Ridge Healthcare Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 Hwy 17 N, Holly Ridge, NC 28445 Phone: 910-329-1707 Fax: 910-251-7777 | |
Holly Ridge Healthcare Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 119 Holly St, Holly Ridge, NC 28445 Phone: 910-329-1707 Fax: 910-329-1716 | |
South Whiteville Urgent Care & Family Practice Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 Us Highway 17 N, Holly Ridge, NC 28445 Phone: 910-264-2334 Fax: 866-251-5115 |