| Tri County Community Health Council Inc | |
|
507 N Brightleaf Blvd Suite 209 Smithfield NC 27577-4405 | |
| (877) 935-5255 | |
| (910) 236-2118 |
| Full Name | Tri County Community Health Council Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 507 N Brightleaf Blvd, Smithfield, North Carolina |
| Authorized Official Name and Position | William 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 |
|---|---|
| Tri County Community Health Council Inc Po Box 340 Four Oaks NC 27524-0340 Ph: (910) 957-6194 | Tri County Community Health Council Inc 507 N Brightleaf Blvd Suite 209 Smithfield NC 27577-4405 Ph: (877) 935-5255 |
| NPI Number | 1407039324 |
|---|---|
| Provider Enumeration Date | 12/13/2007 |
| Last Update Date | 03/27/2024 |
| Medicare PECOS PAC ID | 2163409558 |
|---|---|
| Medicare Enrollment ID | O20080411000610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407039324 | NPI | - | NPPES |
| 341928 | Other | NC | MEDICARE OSCAR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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