| Triad Adult And Pediatric Medicine, Inc | |
|
922 Third Ave Reidsville NC 27320-4440 | |
| (336) 355-9913 | |
| (336) 637-8091 |
| Full Name | Triad Adult And Pediatric Medicine, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 922 Third Ave, Reidsville, North Carolina |
| Authorized Official Name and Position | Michelle A. Lewis (INTERIM CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3363559715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Triad Adult And Pediatric Medicine, Inc 1002 S Eugene St Greensboro NC 27406-1308 Ph: (336) 355-9715 | Triad Adult And Pediatric Medicine, Inc 922 Third Ave Reidsville NC 27320-4440 Ph: (336) 355-9913 |
| NPI Number | 1962741421 |
|---|---|
| Provider Enumeration Date | 02/04/2013 |
| Last Update Date | 04/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962741421 | NPI | - | NPPES |
| 1962741421 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Zack Hall, Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 217 Turner Dr Ste F, Reidsville, NC 27320 Phone: 336-342-6060 Fax: 336-342-6068 | |
Roy O Fagan Iii Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 419 W Harrison St, Reidsville, NC 27320 Phone: 336-342-4448 Fax: 336-342-4499 | |
Tesfaye D Fanta Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 W Harrison St, Reidsville, NC 27320 Phone: 336-342-9564 Fax: 336-349-9723 | |
Moses Cone Physician Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1107 S Main St, Reidsville, NC 27320 Phone: 336-951-6070 Fax: 336-634-3940 | |
Moses Cone Affiliated Physicians, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Maple Ave, Suite B, Reidsville, NC 27320 Phone: 336-634-3960 Fax: 336-634-3919 | |
The Mcinnis Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1123 S Main St Ste C, Reidsville, NC 27320 Phone: 336-342-4286 Fax: 866-258-0126 | |
Moses Cone Physician Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 S Scales St, Reidsville, NC 27320 Phone: 336-347-0511 Fax: 336-347-0410 |