| Kintegra At Southwest Elementary | |
|
1580 32nd St Sw Hickory NC 28602-4633 | |
| (828) 324-8884 | |
| (828) 345-6226 |
| Full Name | Kintegra At Southwest Elementary |
|---|---|
| Speciality | Clinic/Center |
| Location | 1580 32nd St Sw, Hickory, North Carolina |
| Authorized Official Name and Position | Sharmila Alexander Anderson (BUSINESS SERVICE ADMINISTRATOR) |
| Authorized Official Contact | 7048741907 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kintegra At Southwest Elementary 200 E 2nd Ave Gastonia NC 28052-4358 Ph: (704) 874-1904 | Kintegra At Southwest Elementary 1580 32nd St Sw Hickory NC 28602-4633 Ph: (828) 324-8884 |
| NPI Number | 1013577675 |
|---|---|
| Provider Enumeration Date | 06/17/2019 |
| Last Update Date | 10/05/2020 |
| Medicare PECOS PAC ID | 5496733925 |
|---|---|
| Medicare Enrollment ID | O20191007003078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013577675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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