| Statewide Mental Health & Disability Services, Pllc | |
|
64 Knight Rd Hollister NC 27844-9791 | |
| (252) 308-1247 | |
| (252) 308-1248 |
| Full Name | Statewide Mental Health & Disability Services, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 64 Knight Rd, Hollister, North Carolina |
| Authorized Official Name and Position | Kristin Clayton (CEO) |
| Authorized Official Contact | 2523081247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Statewide Mental Health & Disability Services, Pllc 730 Roanoke Avenue Suite A-1 Roanoke Rapids NC 27870-2740 Ph: (252) 308-1247 | Statewide Mental Health & Disability Services, Pllc 64 Knight Rd Hollister NC 27844-9791 Ph: (252) 308-1247 |
| NPI Number | 1427476167 |
|---|---|
| Provider Enumeration Date | 03/31/2014 |
| Last Update Date | 07/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427476167 | NPI | - | NPPES |
| 6003794 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34782 (North Carolina) | Primary |
Twin County Rural Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 Evans Road, Hollister, NC 27844 Phone: 252-586-5151 Fax: 252-586-6932 | |
Rural Health Group At Twin County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 204 Evans Road, Hollister, NC 27844 Phone: 252-586-5151 Fax: 252-586-6932 |