| Stovall Medical Center | |
|
100 Durham St. Stovall NC 27582 | |
| (919) 690-8880 | |
| (919) 690-8882 |
| Full Name | Stovall Medical Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 100 Durham St., Stovall, North Carolina |
| Authorized Official Name and Position | Cristina Blalock (DIRECTOR) |
| Authorized Official Contact | 9196908880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stovall Medical Center Po Box 27 Stovall NC 27582-0027 Ph: (919) 690-8880 | Stovall Medical Center 100 Durham St. Stovall NC 27582 Ph: (919) 690-8880 |
| NPI Number | 1720148414 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 05/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720148414 | NPI | - | NPPES |
| 5906025 | Medicaid | NC | |
| 5821143 | Other | NC | CIGNA |
| 018XG | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Stovall Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Durham Street, Stovall, NC 27582 Phone: 919-690-8880 Fax: 919-690-8882 | |
Rural Health Group At Stovall Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Durham Street, Stovall, NC 27582 Phone: 252-536-5440 Fax: 252-536-5444 |