| Rural Health Group At Jackson/dental | |
|
9409 Nc Highway 305 Jackson NC 27845-9679 | |
| (252) 536-5920 | |
| (252) 534-2041 |
| Full Name | Rural Health Group At Jackson/dental |
|---|---|
| Speciality | Clinic/Center |
| Location | 9409 Nc Highway 305, Jackson, North Carolina |
| Authorized Official Name and Position | Yvonne Long-gee (CEO) |
| Authorized Official Contact | 2525365789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Health Group At Jackson/dental Po Box 640 Roanoke Rapids NC 27870-0640 Ph: (252) 536-5440 | Rural Health Group At Jackson/dental 9409 Nc Highway 305 Jackson NC 27845-9679 Ph: (252) 536-5920 |
| NPI Number | 1598893547 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 06/12/2023 |
| Medicare PECOS PAC ID | 9739090226 |
|---|---|
| Medicare Enrollment ID | O20230525001509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598893547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (North Carolina) | Primary |
Rural Health Group At Jackson Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9425 Nc 305 Hwy, Jackson, NC 27845 Phone: 252-534-1661 Fax: 252-534-2841 |