| I Innovations, Inc. | |
|
317 W Main St Sanford NC 27332-5943 | |
| (919) 292-2892 | |
| Not Available |
| Full Name | I Innovations, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 317 W Main St, Sanford, North Carolina |
| Authorized Official Name and Position | Tonja Mclean Reid (OWNER) |
| Authorized Official Contact | 9107230532 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| I Innovations, Inc. Po Box 1553 Sanford NC 27331-1553 Ph: (910) 723-0532 | I Innovations, Inc. 317 W Main St Sanford NC 27332-5943 Ph: (919) 292-2892 |
| NPI Number | 1265572879 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 06/13/2023 |
| Certification Date | 06/12/2023 |
| Medicare PECOS PAC ID | 8628335866 |
|---|---|
| Medicare Enrollment ID | O20171127001775 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265572879 | NPI | - | NPPES |
| 3418880 | Medicaid | NC | |
| 7806258 | Medicaid | NC |
| Provider Name | Tavares A Bostic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134545908 PECOS PAC ID: 6507157054 Enrollment ID: I20160614001455 |
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