| Kintegra Pediatric Medicine - Statesville | |
|
518 Brookdale Dr Statesville NC 28677-4108 | |
| (704) 872-9595 | |
| (704) 872-5851 |
| Full Name | Kintegra Pediatric Medicine - Statesville |
|---|---|
| Speciality | Clinic/Center |
| Location | 518 Brookdale Dr, Statesville, North Carolina |
| Authorized Official Name and Position | Sharmila Anderson (BUSINESS SERVICE ADMINISTRATOR) |
| Authorized Official Contact | 7048741907 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kintegra Pediatric Medicine - Statesville 200 E 2nd Ave Gastonia NC 28052-4358 Ph: (704) 874-1904 | Kintegra Pediatric Medicine - Statesville 518 Brookdale Dr Statesville NC 28677-4108 Ph: (704) 872-9595 |
| NPI Number | 1710237367 |
|---|---|
| Provider Enumeration Date | 09/11/2012 |
| Last Update Date | 05/07/2021 |
| Medicare PECOS PAC ID | 5496733925 |
|---|---|
| Medicare Enrollment ID | O20121114000454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710237367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Piedmont Healthcare, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 533 Brookdale Dr, Statesville, NC 28677 Phone: 704-838-8249 Fax: 704-495-3057 | |
Nuvu Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Sullivan Rd, Statesville, NC 28677 Phone: 980-434-5426 | |
Sound Physicians Of North Carolina Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 Old Mocksville Rd, Statesville, NC 28625 Phone: 704-873-0281 Fax: 704-838-7287 | |
Piedmont Healthcare, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Gaither Rd, Statesville, NC 28625 Phone: 704-871-1155 Fax: 704-872-2484 | |
Statesville Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Davie Ave, Statesville, NC 28677 Phone: 704-873-3269 Fax: 704-871-8159 | |
Novant Health Primary Care Fern Creek Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 Fern Creek Dr, Statesville, NC 28625 Phone: 704-978-2250 Fax: 704-978-2258 | |
Cuong Tan Doan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 557 Brookdale Dr, Statesville, NC 28677 Phone: 800-409-2919 |