Snow Hill Integrated Care Services | |
1106 Kingold Blvd Snow Hill NC 28580-1619 | |
(252) 747-2921 | |
(252) 221-5879 |
Full Name | Snow Hill Integrated Care Services |
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Speciality | Clinic/Center |
Location | 1106 Kingold Blvd, Snow Hill, North Carolina |
Authorized Official Name and Position | Daphne Betts-hemby (CFO) |
Authorized Official Contact | 2527478162 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Snow Hill Integrated Care Services 7 Professional Dr Snow Hill NC 28580-1332 Ph: (252) 747-8162 | Snow Hill Integrated Care Services 1106 Kingold Blvd Snow Hill NC 28580-1619 Ph: (252) 747-2921 |
NPI Number | 1891798054 |
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Provider Enumeration Date | 05/23/2005 |
Last Update Date | 02/28/2024 |
Medicare PECOS PAC ID | 0648189001 |
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Medicare Enrollment ID | O20040117000030 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891798054 | NPI | - | NPPES |
344554 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 64938 (North Carolina) | Primary |
Provider Name | Margaret S Choate |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598921884 PECOS PAC ID: 5092799734 Enrollment ID: I20040617001600 |
Provider Name | Carmen L Moreno |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1306882337 PECOS PAC ID: 0941393797 Enrollment ID: I20070910000762 |
Provider Name | Anna L Imhoff |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1063443737 PECOS PAC ID: 8921195892 Enrollment ID: I20071025000155 |
Provider Name | Marshall J Barker |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1083655005 PECOS PAC ID: 4880762541 Enrollment ID: I20081007000883 |
Provider Name | Elie M Osta |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861468902 PECOS PAC ID: 4284697376 Enrollment ID: I20100728000676 |
Provider Name | Jean Frances Conlin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932428935 PECOS PAC ID: 8820113814 Enrollment ID: I20100914001038 |
Provider Name | Holly Alisha Carraway Warren |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629236013 PECOS PAC ID: 8123276318 Enrollment ID: I20120913000002 |
Provider Name | Sampoorna Velineni |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982968061 PECOS PAC ID: 1557670213 Enrollment ID: I20151020000802 |
Provider Name | Leslie Dawn Chitwood |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639549181 PECOS PAC ID: 3072823350 Enrollment ID: I20151117002754 |
Provider Name | Deborah Viola Deena |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548784853 PECOS PAC ID: 9234495474 Enrollment ID: I20171103002919 |
Provider Name | Kim Edwards Dixon |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154764090 PECOS PAC ID: 0547512600 Enrollment ID: I20181018000011 |
Provider Name | Charity B Sellers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184183907 PECOS PAC ID: 4385987858 Enrollment ID: I20190524000725 |
Provider Name | Candace H Beddard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962050047 PECOS PAC ID: 8123450236 Enrollment ID: I20191112000013 |
Provider Name | Kassie Soefje Johnson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902167364 PECOS PAC ID: 7810204286 Enrollment ID: I20201027002452 |
Provider Name | Shilpi Gupta |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376105585 PECOS PAC ID: 0941537385 Enrollment ID: I20220926002913 |
Provider Name | Frankie Jones Letchworth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417617168 PECOS PAC ID: 1052780293 Enrollment ID: I20221212000609 |
Provider Name | Linda Boothe |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1912931502 PECOS PAC ID: 9931104304 Enrollment ID: I20230125002210 |
Provider Name | Chelsea Brynn Hurley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649939059 PECOS PAC ID: 7618348632 Enrollment ID: I20230130000529 |
Provider Name | Xinran Hu |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1295047926 PECOS PAC ID: 4688074479 Enrollment ID: I20240215001577 |
Provider Name | Ashanta Paige Bendele |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1003674011 PECOS PAC ID: 9436598935 Enrollment ID: I20240417000728 |
Provider Name | Jose Ali Hernandez Dominguez |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1609579804 PECOS PAC ID: 1052752193 Enrollment ID: I20240507003820 |
Provider Name | Shawanna Monique Humphrey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972241842 PECOS PAC ID: 0143662601 Enrollment ID: I20240529002871 |
Hope Medical Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1304 Se 2nd St, Britthaven Of Snow Hill, Snow Hill, NC 28580 Phone: 252-747-8126 | |
Student Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 140 School Dr, Snow Hill, NC 28580 Phone: 252-747-5841 Fax: 252-747-4916 | |
Kate B Reynolds Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Martin L King Jr Pkwy, Snow Hill, NC 28580 Phone: 252-747-4199 Fax: 252-221-5308 | |
Greene County Department Of Public Health - Mass Immunizations Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 227 Kingold Blvd, Suite B, Snow Hill, NC 28580 Phone: 252-747-8181 Fax: 252-747-8946 | |
Greene County Health Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Professional Dr, Snow Hill, NC 28580 Phone: 252-747-8162 | |
Heritage Family Health And Wellness Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1108b Kingold Blvd, Snow Hill, NC 28580 Phone: 252-524-1069 |