| Boomer Medical Center, Inc. | |
|
156 Boomer Community Center Rd Boomer NC 28606-9199 | |
| (336) 921-2273 | |
| (336) 921-2405 |
| Full Name | Boomer Medical Center, Inc. |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 156 Boomer Community Center Rd, Boomer, North Carolina |
| Authorized Official Name and Position | Deborah Newman Pierce (ADMINISTRATOR) |
| Authorized Official Contact | 3369212273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boomer Medical Center, Inc. Po Box 238 156 Boomer Community Center Rd Boomer NC 28606-9199 Ph: (336) 921-2273 | Boomer Medical Center, Inc. 156 Boomer Community Center Rd Boomer NC 28606-9199 Ph: (336) 921-2273 |
| NPI Number | 1609942820 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 04/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609942820 | NPI | - | NPPES |
| 343930A | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |