| Main St. Station | |
|
403 E Main St Wilkesboro NC 28697-2505 | |
| (336) 903-8500 | |
| (336) 903-8505 |
| Full Name | Main St. Station |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 403 E Main St, Wilkesboro, North Carolina |
| Authorized Official Name and Position | John Edmund Carrigan (PROGRAM DIRECTOR) |
| Authorized Official Contact | 3369038500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main St. Station Po Box 201 Wilkesboro NC 28697-0201 Ph: (336) 903-8500 | Main St. Station 403 E Main St Wilkesboro NC 28697-2505 Ph: (336) 903-8500 |
| NPI Number | 1013184738 |
|---|---|
| Provider Enumeration Date | 05/12/2008 |
| Last Update Date | 05/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013184738 | NPI | - | NPPES |
| 8300830 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | MHL097052 (North Carolina) | Primary |
Children's Hope Alliance Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 Courthouse Dr, Wilkesboro, NC 28697 Phone: 336-667-3333 Fax: 336-667-8749 | |
Forest Hill Afl Home Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 323 Forest Hill Dr, Wilkesboro, NC 28697 Phone: 336-546-8702 | |
Old 60 Home Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 258 Old Highway 60, Wilkesboro, NC 28697 Phone: 404-364-2900 Fax: 404-364-2901 | |
Jodi Province Counseling Services, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1260 College Ave Ste 1, Wilkesboro, NC 28697 Phone: 336-818-0733 Fax: 336-818-0734 | |
Northwest Neurology, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 Meadowview Dr, Wilkesboro, NC 28697 Phone: 336-838-7111 Fax: 336-838-4299 | |
Turning Point Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 School St, Wilkesboro, NC 28697 Phone: 336-667-2408 |