| Granville Health System | |
|
110 Professional Park Drive Oxford NC 27565-2756 | |
| (919) 693-6541 | |
| (919) 693-7396 |
| Full Name | Granville Health System |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 Professional Park Drive, Oxford, North Carolina |
| Authorized Official Name and Position | Jamie Purvis (CFO) |
| Authorized Official Contact | 9196903237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Granville Health System Po Box 986 Oxford NC 27565-0986 Ph: (919) 693-6541 | Granville Health System 110 Professional Park Drive Oxford NC 27565-2756 Ph: (919) 693-6541 |
| NPI Number | 1811999055 |
|---|---|
| Provider Enumeration Date | 06/01/2005 |
| Last Update Date | 10/11/2024 |
| Medicare PECOS PAC ID | 1052223757 |
|---|---|
| Medicare Enrollment ID | O20100304000720 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811999055 | NPI | - | NPPES |
| 344646C | Medicaid | NC | |
| 014WA | Other | NC | BCBS |
| 022FT | Other | NC | BCBS |
| 344646A | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (North Carolina) | Primary |
Dlp Maria Parham Physician Practices Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1209 Se Industry Dr, Oxford, NC 27565 Phone: 252-492-8576 Fax: 252-492-7464 | |
Premise Health Of North Carolina Medical, P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Enterprise Ct, Oxford, NC 27565 Phone: 123-000-0000 | |
Tylah No.1 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 Sycamore St, Oxford, NC 27565 Phone: 919-693-8299 | |
Duke University Affiliated Physicians, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Professional Park Ste A, Oxford, NC 27565 Phone: 919-693-3972 Fax: 919-693-1700 | |
Granville-vance District Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Hunt St, Oxford, NC 27565 Phone: 919-693-2141 | |
Professional Pharmacy Of Oxford Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Roxboro Rd, Oxford, NC 27565 Phone: 919-693-8555 Fax: 919-603-0214 | |
Granville Health Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 103 Professional Park, Oxford, NC 27565 Phone: 919-690-3000 |