See 1588795165 | |
73 Kaiser Wilnoty Drive Cherokee NC 28719-0736 | |
(828) 359-6240 | |
(828) 497-8178 |
Full Name | See 1588795165 |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 73 Kaiser Wilnoty Drive, Cherokee, North Carolina |
Authorized Official Name and Position | Michael Ernest Quillen (HEALTH CARE BUSINESS MANAGER) |
Authorized Official Contact | 8283596194 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
See 1588795165 Po Box 666 Cherokee NC 28719-0666 Ph: (828) 359-6240 | See 1588795165 73 Kaiser Wilnoty Drive Cherokee NC 28719-0736 Ph: (828) 359-6240 |
NPI Number | 1619010634 |
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Provider Enumeration Date | 02/15/2007 |
Last Update Date | 10/13/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619010634 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 344572A (North Carolina) | Primary |
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