| Commwell Health | |
|
1470 Maple Grove Church Road Dunn NC 28334-7988 | |
| (877) 935-5255 | |
| (910) 236-2118 |
| Full Name | Commwell Health |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1470 Maple Grove Church Road, Dunn, North Carolina |
| Authorized Official Name and Position | William C Ellison (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 9105677065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commwell Health Po Box 340 Four Oaks NC 27524-0340 Ph: (910) 567-6194 | Commwell Health 1470 Maple Grove Church Road Dunn NC 28334-7988 Ph: (877) 935-5255 |
| NPI Number | 1790270999 |
|---|---|
| Provider Enumeration Date | 06/29/2018 |
| Last Update Date | 03/27/2024 |
| Certification Date | 03/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790270999 | NPI | - | NPPES |
| 101161 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | MHL-082-014 (North Carolina) | Primary |
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