Vidant Family Medicine-pinetops A Department Of Vidant Edgecombe Hospi | |
1473 Nc 42-43 West Pinetops NC 27864-7188 | |
(252) 827-5231 | |
(252) 827-5775 |
Full Name | Vidant Family Medicine-pinetops A Department Of Vidant Edgecombe Hospi |
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Speciality | Clinic/Center |
Location | 1473 Nc 42-43 West, Pinetops, North Carolina |
Authorized Official Name and Position | Charles Alford (C.F.O.) |
Authorized Official Contact | 2526417131 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vidant Family Medicine-pinetops A Department Of Vidant Edgecombe Hospi 1473 Nc 42-43 West Pinetops NC 27864-7188 Ph: (252) 827-5231 | Vidant Family Medicine-pinetops A Department Of Vidant Edgecombe Hospi 1473 Nc 42-43 West Pinetops NC 27864-7188 Ph: (252) 827-5231 |
NPI Number | 1821076589 |
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Provider Enumeration Date | 01/04/2006 |
Last Update Date | 03/14/2013 |
Medicare PECOS PAC ID | 4789582594 |
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Medicare Enrollment ID | O20100506000344 |
Identifier | Type | State | Issuer |
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1821076589 | NPI | - | NPPES |
344625C | Medicaid | NC | |
344625A | Medicaid | NC | |
0164Q | Other | NC | BCBS PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | H0258 (North Carolina) | Primary |
Medical Clinic Of Pinetops Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Southwest First Street, Pinetops, NC 27864 Phone: 252-827-1550 |