| Nova-inc. | |
|
2002 Shackleford Rd Kinston NC 28504-8917 | |
| (252) 233-0491 | |
| (252) 233-0495 |
| Full Name | Nova-inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2002 Shackleford Rd, Kinston, North Carolina |
| Authorized Official Name and Position | Tracey Pridgen (CFO) |
| Authorized Official Contact | 9197348803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova-inc. Po Box 11147 Goldsboro NC 27532-1147 Ph: (919) 734-8803 | Nova-inc. 2002 Shackleford Rd Kinston NC 28504-8917 Ph: (252) 233-0491 |
| NPI Number | 1346471265 |
|---|---|
| Provider Enumeration Date | 07/28/2009 |
| Last Update Date | 09/28/2023 |
| Certification Date | 09/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346471265 | NPI | - | NPPES |
| 8300789H | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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