| Kintegra at Shuford Elementary | |
|
810 Hunsucker Dr Ne Conover NC 28613-7578 | |
| (828) 464-1973 | |
| (828) 464-1405 |
| Full Name | Kintegra at Shuford Elementary |
|---|---|
| Speciality | Clinic/Center |
| Location | 810 Hunsucker Dr Ne, Conover, 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 Shuford Elementary 200 E 2nd Ave Gaston Family Health Services Gastonia NC 28052-4358 Ph: (704) 874-1904 | Kintegra at Shuford Elementary 810 Hunsucker Dr Ne Conover NC 28613-7578 Ph: (828) 464-1973 |
| NPI Number | 1619438942 |
|---|---|
| Provider Enumeration Date | 03/28/2019 |
| Last Update Date | 01/16/2020 |
| Certification Date | 01/16/2020 |
| Medicare PECOS PAC ID | 5496733925 |
|---|---|
| Medicare Enrollment ID | O20190829001288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619438942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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