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302 Mount Tabor Rd Red Springs NC 28377-6415 | |
(910) 227-2850 | |
(910) 227-2846 |
Full Name | |
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Speciality | Clinic/Center |
Location | 302 Mount Tabor Rd, Red Springs, North Carolina |
Authorized Official Name and Position | George Timothy Hall (CEO) |
Authorized Official Contact | 9105212900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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60 Commerce Plaza Cir Pembroke NC 28372-7386 Ph: (910) 521-2900 | 302 Mount Tabor Rd Red Springs NC 28377-6415 Ph: (910) 227-2850 |
NPI Number | 1407461106 |
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Provider Enumeration Date | 09/10/2020 |
Last Update Date | 09/22/2020 |
Medicare PECOS PAC ID | 1850290693 |
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Medicare Enrollment ID | O20201105002932 |
Identifier | Type | State | Issuer |
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1407461106 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Red Springs Family Medicine Clinic, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 229 S Main St, Red Springs, NC 28377 Phone: 910-843-9991 Fax: 910-843-9995 | |