| Rural Health Group At Stovall | |
|
100 Durham Street Stovall NC 27582-1032 | |
| (252) 536-5440 | |
| (252) 536-5444 |
| Full Name | Rural Health Group At Stovall |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Durham Street, Stovall, North Carolina |
| Authorized Official Name and Position | Brian Otis Harris (CEO) |
| Authorized Official Contact | 2525365929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Health Group At Stovall Po Box 640 Roanoke Rapids NC 27870-0640 Ph: (252) 536-5440 | Rural Health Group At Stovall 100 Durham Street Stovall NC 27582-1032 Ph: (252) 536-5440 |
| NPI Number | 1609236371 |
|---|---|
| Provider Enumeration Date | 02/24/2016 |
| Last Update Date | 02/24/2016 |
| Medicare PECOS PAC ID | 9739090226 |
|---|---|
| Medicare Enrollment ID | O20160421000009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609236371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Stovall Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Durham Street, Stovall, NC 27582 Phone: 919-690-8880 Fax: 919-690-8882 | |
Stovall Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Durham St., Stovall, NC 27582 Phone: 919-690-8880 Fax: 919-690-8882 |