| Wnc Healing Collaborative, Pllc | |
|
32 N Main St Unit 1 Marshall NC 28753-0317 | |
| (828) 201-2758 | |
| (877) 371-6918 |
| Full Name | Wnc Healing Collaborative, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 32 N Main St Unit 1, Marshall, North Carolina |
| Authorized Official Name and Position | Shannon O'conner (CEO) |
| Authorized Official Contact | 8282012758 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wnc Healing Collaborative, Pllc 32 N Main St Unit 1 Marshall NC 28753-0317 Ph: (828) 201-2758 | Wnc Healing Collaborative, Pllc 32 N Main St Unit 1 Marshall NC 28753-0317 Ph: (828) 201-2758 |
| NPI Number | 1134837198 |
|---|---|
| Provider Enumeration Date | 11/09/2022 |
| Last Update Date | 12/12/2022 |
| Medicare PECOS PAC ID | 2264802552 |
|---|---|
| Medicare Enrollment ID | O20230103000188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134837198 | NPI | - | NPPES |
| 1902190416 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Shannon M O'conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902190416 PECOS PAC ID: 6406288695 Enrollment ID: I20191108000667 |
Madison County Health Department - Mass Immunizations Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 493 Medical Park Dr, Marshall, NC 28753 Phone: 828-649-3531 Fax: 828-649-9078 | |
Laurel Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 80 Guntertown Rd, Marshall, NC 28753 Phone: 828-656-2611 Fax: 828-656-9434 | |
Mashburn Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 590 Medical Park Dr, Marshall, NC 28753 Phone: 828-649-3500 Fax: 828-649-1032 |