| Diversified Multicultural Healthcare Research Services, Inc. | |
|
116 Crutchfield St Durham NC 27704-2722 | |
| (919) 471-5474 | |
| (919) 471-5475 |
| Full Name | Diversified Multicultural Healthcare Research Services, Inc. |
|---|---|
| Speciality | Family Medicine - Addiction Medicine |
| Location | 116 Crutchfield St, Durham, North Carolina |
| Authorized Official Name and Position | Basil D Halliday (PRESIDENT & CEO) |
| Authorized Official Contact | 9194715474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diversified Multicultural Healthcare Research Services, Inc. 116 Crutchfield St Durham NC 27704-2722 Ph: (919) 471-5474 | Diversified Multicultural Healthcare Research Services, Inc. 116 Crutchfield St Durham NC 27704-2722 Ph: (919) 471-5474 |
| NPI Number | 1457577413 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 05/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457577413 | NPI | - | NPPES |
| 019YJ | Other | NC | BLUE CROSS BLUE SHIELD OF NC |
| 5909109 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | (* (Not Available)) | Primary |
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