| West Wilkes Medical Center, Inc. | |
|
171 W Wilkes Medical Center Rd Ferguson NC 28624-8925 | |
| (336) 973-7050 | |
| (336) 973-5154 |
| Full Name | West Wilkes Medical Center, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 171 W Wilkes Medical Center Rd, Ferguson, North Carolina |
| Authorized Official Name and Position | Deborah Newman Pierce (ADMINISTRATOR) |
| Authorized Official Contact | 3369737050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Wilkes Medical Center, Inc. 171 W Wilkes Medical Center Rd Ferguson NC 28624-8925 Ph: (336) 973-7050 | West Wilkes Medical Center, Inc. 171 W Wilkes Medical Center Rd Ferguson NC 28624-8925 Ph: (336) 973-7050 |
| NPI Number | 1801832886 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 03/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801832886 | NPI | - | NPPES |
| 5900459 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (North Carolina) | Primary |
West Wilkes Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 171 W Wilkes Medical Center Rd, Ferguson, NC 28624 Phone: 336-973-9378 Fax: 336-973-9370 |