| Calabash Medical Center,pa | |
|
10081 Beach Dr Sw Calabash NC 28467-2713 | |
| (800) 579-7971 | |
| (910) 579-2407 |
| Full Name | Calabash Medical Center,pa |
|---|---|
| Speciality | Family Medicine |
| Location | 10081 Beach Dr Sw, Calabash, North Carolina |
| Authorized Official Name and Position | Tammy Gore Ward (INS BILLING/COLLECTIONS) |
| Authorized Official Contact | 8437565300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Calabash Medical Center,pa 3439 Casey St Loris SC 29569-2903 Ph: (800) 579-7971 | Calabash Medical Center,pa 10081 Beach Dr Sw Calabash NC 28467-2713 Ph: (800) 579-7971 |
| NPI Number | 1285635219 |
|---|---|
| Provider Enumeration Date | 08/01/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285635219 | NPI | - | NPPES |
| RCH006 | Other | SC | SC MEDICAID |
| 343935A | Other | NC | NC MEDICAID CAROLINA ACCESS |
| 5950176 | Medicaid | NC | |
| CA9979 | Other | NC | RAILROAD MEDICARE |
| NPA648 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (North Carolina) | Primary |
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