Roanoke Medical Center | |
1004 Hwy 64 East Plymouth NC 27962 | |
(252) 793-4500 | |
(252) 793-2079 |
Full Name | Roanoke Medical Center |
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Speciality | General Practice |
Location | 1004 Hwy 64 East, Plymouth, North Carolina |
Authorized Official Name and Position | Robert Lee Venable (PRESIDENT) |
Authorized Official Contact | 2527934500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Roanoke Medical Center Po Box 1026 Plymouth NC 27962-1026 Ph: (252) 793-4500 | Roanoke Medical Center 1004 Hwy 64 East Plymouth NC 27962 Ph: (252) 793-4500 |
NPI Number | 1558307116 |
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Provider Enumeration Date | 06/21/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558307116 | NPI | - | NPPES |
89-0271F | Medicaid | NC | |
0271F | Other | NC | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 22192 (North Carolina) | Primary |
Martin Tyrrell Washington District Health Dept Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 198 Nc Highway 45 N, Plymouth, NC 27962 Phone: 252-791-3119 Fax: 252-791-3159 | |