| Preferred Choice Healthcare | |
|
116 Lee St Shelby NC 28150-3839 | |
| (704) 487-4000 | |
| (704) 487-4005 |
| Full Name | Preferred Choice Healthcare |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 116 Lee St, Shelby, North Carolina |
| Authorized Official Name and Position | James Edward Powell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7044874000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preferred Choice Healthcare 2924 Fox Pl Mooresboro NC 28114-9793 Ph: (828) 657-5923 | Preferred Choice Healthcare 116 Lee St Shelby NC 28150-3839 Ph: (704) 487-4000 |
| NPI Number | 1073827861 |
|---|---|
| Provider Enumeration Date | 08/04/2010 |
| Last Update Date | 11/15/2021 |
| Certification Date | 05/05/2021 |
| Medicare PECOS PAC ID | 2567687817 |
|---|---|
| Medicare Enrollment ID | O20140701000527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073827861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Edwin Harold Waldrop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821185489 PECOS PAC ID: 8022109453 Enrollment ID: I20070814000375 |
| Provider Name | Sarah Jeanne Horne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780922906 PECOS PAC ID: 8729222625 Enrollment ID: I20130916000256 |
| Provider Name | Kimberly Anne Disney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619425659 PECOS PAC ID: 2365787355 Enrollment ID: I20181219002089 |
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