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Ambulatory Health Care Facilities Clinic/Center Primary Care

Provider NPI: 1841387263

Organization Information:
Organization is Subpart
Authorized Official:  ROBERT BATTLE BETTS  HEALTH DIRECTOR  252-338-4404

Practice Location:
102 RHODES AVE  WINDSOR, NC 27983-9656 US
Tel: 252-338-4404  Fax: --

Business Mailing Address:
PO BOX 189  ELIZABETH CITY, NC 27907-0189 US
Tel: --  Fax: --

NPI Information:
NPI: 1841387263
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
N261QP2300XAmbulatory Health Care Facilities
Primary Care
Clinical Medical Laboratory
Case Management
N261QC1500XAmbulatory Health Care Facilities
N261QD0000XAmbulatory Health Care Facilities
N261QF0050XAmbulatory Health Care Facilities
N261QM1000XAmbulatory Health Care Facilities
N261QM2500XAmbulatory Health Care Facilities
Y261QP0905XAmbulatory Health Care Facilities

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 261QP0905X





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