| Elk River Medical Associates, Pa | |
|
150 Park Ave Banner Elk NC 28604-6604 | |
| (828) 898-5177 | |
| (828) 898-8306 |
| Full Name | Elk River Medical Associates, Pa |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 150 Park Ave, Banner Elk, North Carolina |
| Authorized Official Name and Position | David Paul Kimmel (PRESIDENT/STAFF PHYSICIAN) |
| Authorized Official Contact | 8288985177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elk River Medical Associates, Pa Po Box 1568 Banner Elk NC 28604-1568 Ph: (828) 898-5177 | Elk River Medical Associates, Pa 150 Park Ave Banner Elk NC 28604-6604 Ph: (828) 898-5177 |
| NPI Number | 1093700338 |
|---|---|
| Provider Enumeration Date | 09/13/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093700338 | NPI | - | NPPES |
| 890150B | Medicaid | NC | |
| C14617 | Other | NC | GROUP RAILROAD MEDICARE |
| 0150B | Other | NC | NC BLUECROSS BLUESHIELD |
| 4404134 | Medicaid | TN | |
| 112304 | Other | TN | TN BLUECROSS&TENNCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 38891 (North Carolina) | Primary |
Charles A Cannon Jr Memorial Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Park Ave, Banner Elk, NC 28604 Phone: 828-898-5178 Fax: 828-262-4103 | |
Avery Adult And Family Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Park Ave, Banner Elk, NC 28604 Phone: 828-898-4343 | |
Appalachian Regional Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Park Ave, Banner Elk, NC 28604 Phone: 828-262-9127 Fax: 828-268-0742 | |
Valle Health Nc Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2841 Broadstone Rd, Banner Elk, NC 28604 Phone: 828-606-0794 Fax: 938-238-1828 |