Rural Health Group At Drugco Express | |
1096 E 10th St Roanoke Rapids NC 27870-3052 | |
(252) 535-3516 | |
(252) 535-3519 |
Full Name | Rural Health Group At Drugco Express |
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Speciality | Clinic/Center |
Location | 1096 E 10th St, Roanoke Rapids, North Carolina |
Authorized Official Name and Position | Judy Belch Beasley (DIRECTOR OF REVENUE) |
Authorized Official Contact | 2525365791 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Rural Health Group At Drugco Express Po Box 640 Roanoke Rapids NC 27870-0640 Ph: (252) 536-5440 | Rural Health Group At Drugco Express 1096 E 10th St Roanoke Rapids NC 27870-3052 Ph: (252) 535-3516 |
NPI Number | 1871081000 |
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Provider Enumeration Date | 04/24/2018 |
Last Update Date | 01/11/2019 |
Medicare PECOS PAC ID | 9739090226 |
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Medicare Enrollment ID | O20180928002470 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871081000 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Rural Health Group At Roanoke Rapids/pediatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2064 Nc Highway 125, Roanoke Rapids, NC 27870 Phone: 252-536-5440 Fax: 252-536-5444 |