| |
322 Main St Prospect Hill NC 27314-9438 | |
(919) 542-4991 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 322 Main St, Prospect Hill, North Carolina |
Authorized Official Name and Position | Brian Toomey (CEO) |
Authorized Official Contact | 9199338494 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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322 Main St Prospect Hill NC 27314-9438 Ph: () - | 322 Main St Prospect Hill NC 27314-9438 Ph: (919) 542-4991 |
NPI Number | 1497187595 |
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Provider Enumeration Date | 07/31/2013 |
Last Update Date | 07/31/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497187595 | NPI | - | NPPES |
344514D | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |