| Blue Ridge Health-swain | |
|
264 Highway 19 S Ste 4 Bryson City NC 28713-1134 | |
| (828) 341-1060 | |
| (828) 341-1804 |
| Full Name | Blue Ridge Health-swain |
|---|---|
| Speciality | Clinic/Center |
| Location | 264 Highway 19 S Ste 4, Bryson City, North Carolina |
| Authorized Official Name and Position | Richard Hudspeth (CEO) |
| Authorized Official Contact | 8282332284 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Health-swain 220 5th Ave E Hendersonville NC 28792-4377 Ph: (828) 692-4289 | Blue Ridge Health-swain 264 Highway 19 S Ste 4 Bryson City NC 28713-1134 Ph: (828) 341-1060 |
| NPI Number | 1124668868 |
|---|---|
| Provider Enumeration Date | 01/10/2020 |
| Last Update Date | 10/18/2021 |
| Medicare PECOS PAC ID | 3173434743 |
|---|---|
| Medicare Enrollment ID | O20200313002083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124668868 | NPI | - | NPPES |
| 1124668868 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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