| Port Health Services | |
|
2602 Courtier Dr Greenville NC 27834-7818 | |
| (252) 752-0483 | |
| (252) 757-3172 |
| Full Name | Port Health Services |
|---|---|
| Speciality | Counselor |
| Location | 2602 Courtier Dr, Greenville, North Carolina |
| Authorized Official Name and Position | Brett Beavers (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9192107661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Health Services 4300 Sapphire Ct Ste 110 Greenville NC 27834-9079 Ph: (252) 830-7540 | Port Health Services 2602 Courtier Dr Greenville NC 27834-7818 Ph: (252) 752-0483 |
| NPI Number | 1477538254 |
|---|---|
| Provider Enumeration Date | 12/14/2005 |
| Last Update Date | 05/24/2023 |
| Certification Date | 05/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477538254 | NPI | - | NPPES |
| 6005329 | Medicaid | NC | |
| 6005332 | Medicaid | NC | |
| 6005334 | Medicaid | NC | |
| 6005597 | Medicaid | NC | |
| 6603789 | Medicaid | NC | |
| 016X5 | Other | NC | BCBS PROVIDER NUMBER |
| 6005592 | Medicaid | NC | |
| 5900726 | Medicaid | NC | |
| 5900727 | Medicaid | NC | |
| 6603790 | Medicaid | NC |
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