| Rural Health Group At Lake Gaston | |
|
108 Mosby Ave Littleton NC 27850-9411 | |
| (252) 586-5151 | |
| (252) 586-2028 |
| Full Name | Rural Health Group At Lake Gaston |
|---|---|
| Speciality | Clinic/Center |
| Location | 108 Mosby Ave, Littleton, North Carolina |
| Authorized Official Name and Position | Judy Belch Beasley (CORPORATE COMPLIANCE OFFICER) |
| 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 Lake Gaston 2064 Hwy 125 P.o. Box 640 Roanoke Rapids NC 27870-0640 Ph: (252) 536-5791 | Rural Health Group At Lake Gaston 108 Mosby Ave Littleton NC 27850-9411 Ph: (252) 586-5151 |
| NPI Number | 1093767535 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9739090226 |
|---|---|
| Medicare Enrollment ID | O20101015001209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093767535 | NPI | - | NPPES |
| 344525 | Medicaid | NC | |
| 02153 | Other | NC | BCBS OF NORTH CAROLINA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Association Of Goodfellows Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Ebony Rd, Littleton, NC 28590 Phone: 252-586-4867 Fax: 252-586-4867 | |
Littleton Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 Elams Rd, Littleton, NC 27850 Phone: 252-586-4923 Fax: 252-586-9809 |