| Archdale Family Practice Pa | |
|
11635 N Main St Ste E Archdale NC 27263-3271 | |
| (336) 861-4110 | |
| (336) 861-4295 |
| Full Name | Archdale Family Practice Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 11635 N Main St Ste E, Archdale, North Carolina |
| Authorized Official Name and Position | Mark Craig Beck (OWNER) |
| Authorized Official Contact | 3368614110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Archdale Family Practice Pa 11635 N Main St Ste E Archdale NC 27263-3271 Ph: (336) 861-4110 | Archdale Family Practice Pa 11635 N Main St Ste E Archdale NC 27263-3271 Ph: (336) 861-4110 |
| NPI Number | 1396049060 |
|---|---|
| Provider Enumeration Date | 01/10/2011 |
| Last Update Date | 03/11/2011 |
| Medicare PECOS PAC ID | 6103009261 |
|---|---|
| Medicare Enrollment ID | O20110328000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396049060 | NPI | - | NPPES |
| 8914271 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 30119 (North Carolina) | Primary |
| Provider Name | Mark Craig Beck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487604831 PECOS PAC ID: 7911180070 Enrollment ID: I20110328000077 |
Uwharrie Medical Center, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 207 Balfour Dr, Suite 102, Archdale, NC 27263 Phone: 336-875-8134 Fax: 336-875-8136 | |
Triseasons Healthcare Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Alison Ln, Archdale, NC 27263 Phone: 336-883-8633 Fax: 202-379-1739 | |
Wake Forest Health Network Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10188 N Main St, Archdale, NC 27263 Phone: 336-802-2070 Fax: 336-802-2071 |