| Cnc-access Inc | |
|
606 College Ave Sw Lenoir NC 28645-5403 | |
| (502) 394-2100 | |
| Not Available |
| Full Name | Cnc-access Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 606 College Ave Sw, Lenoir, North Carolina |
| Authorized Official Name and Position | Timothy Tyler Whobrey (PROVIDER ENROLLMENT) |
| Authorized Official Contact | 5026307249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cnc-access Inc 805 N Whittington Pkwy Louisville KY 40222-5186 Ph: (800) 866-0860 | Cnc-access Inc 606 College Ave Sw Lenoir NC 28645-5403 Ph: (502) 394-2100 |
| NPI Number | 1700029717 |
|---|---|
| Provider Enumeration Date | 04/07/2009 |
| Last Update Date | 10/05/2021 |
| Certification Date | 10/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700029717 | NPI | - | NPPES |
| 6600185 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
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