Valdese Family Practice, Pa | |
99 Griffin Street Rutherford College NC 28671 | |
(828) 874-1316 | |
(828) 874-1092 |
Full Name | Valdese Family Practice, Pa |
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Speciality | Family Medicine |
Location | 99 Griffin Street, Rutherford College, North Carolina |
Authorized Official Name and Position | Paula B Walker (OFFICE MANAGER) |
Authorized Official Contact | 8288741316 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Valdese Family Practice, Pa 99 Griffin Street Po Box 806 Rutherford College NC 28671 Ph: (828) 874-1316 | Valdese Family Practice, Pa 99 Griffin Street Rutherford College NC 28671 Ph: (828) 874-1316 |
NPI Number | 1720104540 |
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Provider Enumeration Date | 03/22/2007 |
Last Update Date | 11/07/2012 |
Medicare PECOS PAC ID | 4284685843 |
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Medicare Enrollment ID | O20050201000899 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720104540 | NPI | - | NPPES |
890195J | Medicaid | NC | |
0195J | Other | NC | NC BCBS GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 79330 (North Carolina) | Primary |
Provider Name | Todd A Arensman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528157690 PECOS PAC ID: 8729122403 Enrollment ID: I20100218000462 |
Provider Name | Kerry W Byrd |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932298007 PECOS PAC ID: 3072564632 Enrollment ID: I20100831000219 |
Provider Name | Joanna Marie Dymora |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861053001 PECOS PAC ID: 9931430766 Enrollment ID: I20191009002337 |
Blue Ridge Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 Malcolm Blvd, Suite 100, Rutherford College, NC 28671 Phone: 828-580-8220 Fax: 828-580-3392 | |
As Above Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 Malcolm Blvd., Suite F, Rutherford College, NC 28671 Phone: 828-879-3400 Fax: 828-879-3403 | |
Rutherford College Family Medical Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 Malcolm Blvd., Suite 230, Rutherford College, NC 28671 Phone: 828-874-2811 Fax: 828-874-0318 | |
Jamie S. Young, Md, Phd, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 560 Malcolm Blvd., Suite G-2, Rutherford College, NC 28671 Phone: 828-879-4567 | |
Hilltop Family Medicine, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Hilltop Street, Rutherford College, NC 28671 Phone: 828-874-4600 Fax: 828-874-8900 | |
Blue Ridge Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 Malcolm Blvd, Suite 100, Rutherford College, NC 28671 Phone: 828-580-8220 Fax: 828-874-8674 |