| Scala Medical Clinic | |
|
105 Dave Warlick Dr Lincolnton NC 28092-4411 | |
| (704) 748-9949 | |
| (704) 748-2345 |
| Full Name | Scala Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 105 Dave Warlick Dr, Lincolnton, North Carolina |
| Authorized Official Name and Position | Ifeanyichukwu Obiora Okafor (PRESIDENT) |
| Authorized Official Contact | 7047489949 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scala Medical Clinic 105 Dave Warlick Dr Lincolnton NC 28092-4411 Ph: (704) 748-9949 | Scala Medical Clinic 105 Dave Warlick Dr Lincolnton NC 28092-4411 Ph: (704) 748-9949 |
| NPI Number | 1982885901 |
|---|---|
| Provider Enumeration Date | 11/19/2007 |
| Last Update Date | 03/05/2024 |
| Medicare PECOS PAC ID | 8022282615 |
|---|---|
| Medicare Enrollment ID | O20111116000697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982885901 | NPI | - | NPPES |
| 89132W6 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | 200200150 (North Carolina) | Secondary |
| Provider Name | Ifeanyichukwu O Okafor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972692366 PECOS PAC ID: 3577630136 Enrollment ID: I20080923000672 |
| Provider Name | April Phares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508410754 PECOS PAC ID: 6002238938 Enrollment ID: I20200623002989 |
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