| Commwell Health Mobile Healthcare Unit 1 | |
|
6114 Us Highway 301 S Four Oaks NC 27524-7417 | |
| (877) 935-5255 | |
| (910) 236-2118 |
| Full Name | Commwell Health Mobile Healthcare Unit 1 |
|---|---|
| Speciality | Clinic/Center |
| Location | 6114 Us Highway 301 S, Four Oaks, North Carolina |
| Authorized Official Name and Position | Wiliam C Ellison (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 9105677065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Commwell Health Mobile Healthcare Unit 1 Po Box 340 Four Oaks NC 27524-0340 Ph: (910) 567-6194 | Commwell Health Mobile Healthcare Unit 1 6114 Us Highway 301 S Four Oaks NC 27524-7417 Ph: (877) 935-5255 |
| NPI Number | 1932867199 |
|---|---|
| Provider Enumeration Date | 12/06/2021 |
| Last Update Date | 03/27/2024 |
| Medicare PECOS PAC ID | 2163409558 |
|---|---|
| Medicare Enrollment ID | O20220921000155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932867199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Tri County Community Health Council Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 725 Boyette Rd, Four Oaks, NC 27524 Phone: 877-935-5255 Fax: 910-236-2118 |