| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1020 Hospice Dr., Danbury, North Carolina |
| Authorized Official Name and Position | Pamela P Tillman (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 3365935314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1570 Nc 8 And Hwy 89 N Danbury NC 27016-7360 Ph: (336) 593-2831 | 1020 Hospice Dr. Danbury NC 27016 Ph: (336) 593-8281 |
| NPI Number | 1922282789 |
|---|---|
| Provider Enumeration Date | 12/28/2007 |
| Last Update Date | 04/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922282789 | NPI | - | NPPES |
| 5905757 | Medicaid | NC | |
| 1922282789 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | H0165 (North Carolina) | Primary |
Stokes Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1009 Main Street, Danbury, NC 27016 Phone: 336-593-2400 Fax: 336-593-9361 | |