| Stedman-wade Health Services, Inc. | |
|
7118 Main St Wade NC 28395-9749 | |
| (910) 483-6694 | |
| (910) 483-2215 |
| Full Name | Stedman-wade Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 7118 Main St, Wade, North Carolina |
| Authorized Official Name and Position | Pamelia R Horton (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 9104832853 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stedman-wade Health Services, Inc. Po Box 449 Wade NC 28395-0449 Ph: (910) 483-2853 | Stedman-wade Health Services, Inc. 7118 Main St Wade NC 28395-9749 Ph: (910) 483-6694 |
| NPI Number | 1578534871 |
|---|---|
| Provider Enumeration Date | 01/27/2006 |
| Last Update Date | 05/23/2024 |
| Medicare PECOS PAC ID | 0042205189 |
|---|---|
| Medicare Enrollment ID | O20080312000140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578534871 | NPI | - | NPPES |
| 89132103 | Medicaid | NC | |
| 344511D | Medicaid | NC | |
| 02972 | Other | BCBS | |
| 344511A | Medicaid | NC | |
| 344511C | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 305S00000X | Point Of Service | (* (Not Available)) | Secondary |
Stedman-wade Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7118 Main St, Wade, NC 28395 Phone: 910-483-6694 |