| County Of Hyde Office Of Accountant | |
|
1151 Main Street Swanquarter NC 27885-0100 | |
| (252) 926-4200 | |
| (252) 926-3702 |
| Full Name | County Of Hyde Office Of Accountant |
|---|---|
| Speciality | Clinic/Center |
| Location | 1151 Main Street, Swanquarter, North Carolina |
| Authorized Official Name and Position | Luana Carawan Gibbs (HEALTH DIRECTOR) |
| Authorized Official Contact | 2529264387 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Hyde Office Of Accountant 1151 Main Street Po Box 100 Swanquarter NC 27885-0100 Ph: (252) 926-4200 | County Of Hyde Office Of Accountant 1151 Main Street Swanquarter NC 27885-0100 Ph: (252) 926-4200 |
| NPI Number | 1962405159 |
|---|---|
| Provider Enumeration Date | 05/23/2005 |
| Last Update Date | 10/17/2018 |
| Medicare PECOS PAC ID | 1951438688 |
|---|---|
| Medicare Enrollment ID | O20130409000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962405159 | NPI | - | NPPES |
| 07213 | Other | NC | BCBS |
| 3404348 | Medicaid | NC | |
| 34DO865324 | Other | NC | CLIA LICENSE |
| Provider Name | John Alberto Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811949985 PECOS PAC ID: 8224029376 Enrollment ID: I20040519000423 |
| Provider Name | Loretta Wooten Meads |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447301007 PECOS PAC ID: 1254409493 Enrollment ID: I20081001000487 |
| Provider Name | Cheryl Fehr-banks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316559610 PECOS PAC ID: 5496172611 Enrollment ID: I20200902000235 |
| Provider Name | Monica Dhulia Fields |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861931347 PECOS PAC ID: 8123431582 Enrollment ID: I20210105000543 |
| Provider Name | Emma Cahoon Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750995031 PECOS PAC ID: 7113332651 Enrollment ID: I20210216001786 |
| Provider Name | Laura Everett Respass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881158293 PECOS PAC ID: 5698132611 Enrollment ID: I20230607001268 |
Dream Provider Care Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1151 Main Street, Swanquarter, NC 27885 Phone: 252-946-0585 Fax: 252-946-0580 |