| Rural Health Group At Henderson | |
|
100 W Parkview Dr Henderson NC 27536-5923 | |
| (252) 536-5791 | |
| (252) 536-5444 |
| Full Name | Rural Health Group At Henderson |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 W Parkview Dr, Henderson, North Carolina |
| Authorized Official Name and Position | Brian O. Harris (CEO) |
| Authorized Official Contact | 2525365871 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Health Group At Henderson Po Box 640 Roanoke Rapids NC 27870-0640 Ph: (252) 536-5791 | Rural Health Group At Henderson 100 W Parkview Dr Henderson NC 27536-5923 Ph: (252) 536-5791 |
| NPI Number | 1124269022 |
|---|---|
| Provider Enumeration Date | 03/23/2009 |
| Last Update Date | 09/10/2012 |
| Medicare PECOS PAC ID | 9739090226 |
|---|---|
| Medicare Enrollment ID | O20090831000112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124269022 | NPI | - | NPPES |
| 022H1 | Other | NC | BCBS |
| 344023A/C | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (North Carolina) | Primary |
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