| Cleco Primary Care Network | |
|
600 W Church St Cherryville NC 28021-2863 | |
| (704) 435-4111 | |
| (704) 435-4113 |
| Full Name | Cleco Primary Care Network |
|---|---|
| Speciality | Family Medicine |
| Location | 600 W Church St, Cherryville, North Carolina |
| Authorized Official Name and Position | Denise Rollins Cooper (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7044843647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cleco Primary Care Network 101 Grover St Shelby NC 28150 Ph: (704) 484-3647 | Cleco Primary Care Network 600 W Church St Cherryville NC 28021-2863 Ph: (704) 435-4111 |
| NPI Number | 1295715647 |
|---|---|
| Provider Enumeration Date | 01/20/2006 |
| Last Update Date | 08/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295715647 | NPI | - | NPPES |
| 890159Q | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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