| West Caldwell Mobile Health | |
|
4330 Collettsville Rd Collettsville NC 28611-9000 | |
| (828) 754-2409 | |
| (828) 754-2418 |
| Full Name | West Caldwell Mobile Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 4330 Collettsville Rd, Collettsville, North Carolina |
| Authorized Official Name and Position | Thomas B Mcrary (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8287542409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Caldwell Mobile Health Po Box 9 Collettsville NC 28611-0009 Ph: (828) 754-2409 | West Caldwell Mobile Health 4330 Collettsville Rd Collettsville NC 28611-9000 Ph: (828) 754-2409 |
| NPI Number | 1538412739 |
|---|---|
| Provider Enumeration Date | 10/25/2012 |
| Last Update Date | 06/05/2023 |
| Medicare PECOS PAC ID | 4385651876 |
|---|---|
| Medicare Enrollment ID | O20150709001100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538412739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Collettsville Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4330 Collettsville Rd, Collettsville, NC 28611 Phone: 828-754-2409 Fax: 828-754-2418 |