| Vance Family Medicine, Pa | |
|
381 Ruin Creek Rd Henderson NC 27536-2932 | |
| (252) 430-0666 | |
| (252) 430-7503 |
| Full Name | Vance Family Medicine, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 381 Ruin Creek Rd, Henderson, North Carolina |
| Authorized Official Name and Position | Khanh T Vu (OWNER) |
| Authorized Official Contact | 2524300666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vance Family Medicine, Pa 381 Ruin Creek Rd Henderson NC 27536-2932 Ph: (252) 430-0666 | Vance Family Medicine, Pa 381 Ruin Creek Rd Henderson NC 27536-2932 Ph: (252) 430-0666 |
| NPI Number | 1619938479 |
|---|---|
| Provider Enumeration Date | 03/31/2006 |
| Last Update Date | 08/05/2010 |
| Medicare PECOS PAC ID | 9436053014 |
|---|---|
| Medicare Enrollment ID | O20031125000299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619938479 | NPI | - | NPPES |
| 344628A | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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