| Eastern Carolina Geriatric Associates & Family Care Ctr Pllc | |
|
105 Commerce Street Powellsville NC 27967-0040 | |
| (252) 332-6484 | |
| (252) 332-1660 |
| Full Name | Eastern Carolina Geriatric Associates & Family Care Ctr Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 105 Commerce Street, Powellsville, North Carolina |
| Authorized Official Name and Position | Steven Wallace Ferguson (PRESIDENT) |
| Authorized Official Contact | 2523326484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Carolina Geriatric Associates & Family Care Ctr Pllc 105 Commerce Street Powellsville NC 27967-0040 Ph: (252) 332-6484 | Eastern Carolina Geriatric Associates & Family Care Ctr Pllc 105 Commerce Street Powellsville NC 27967-0040 Ph: (252) 332-6484 |
| NPI Number | 1962660472 |
|---|---|
| Provider Enumeration Date | 05/30/2008 |
| Last Update Date | 12/17/2009 |
| Medicare PECOS PAC ID | 6507939220 |
|---|---|
| Medicare Enrollment ID | O20080714000442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962660472 | NPI | - | NPPES |
| 5950178 | Medicaid | NC | |
| 8931664 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Steven W Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295788628 PECOS PAC ID: 8628140894 Enrollment ID: I20080702000642 |
Eastern Carolina Geriatric Associates And Family Care Center Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Commerce Street, Powellsville, NC 27967 Phone: 252-332-6484 Fax: 252-332-1660 | |
Eastern Carolina Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Commerce Street, Powellsville, NC 27967 Phone: 252-332-6484 Fax: 252-332-1660 | |
Eastern Carolina Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Commerce Street, Powellsville, NC 27967 Phone: 252-332-6484 Fax: 252-332-1660 | |
Comprehensive Medical Care Services Of Eastern Nc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 Commerce Street, Powellsville, NC 27967 Phone: 252-332-6484 Fax: 252-332-1660 |