| Halo Health, Pc | |
|
702 Oberlin Rd Ste 100 Raleigh NC 27605-1357 | |
| (919) 830-3224 | |
| (833) 908-2350 |
| Full Name | Halo Health, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 702 Oberlin Rd Ste 100, Raleigh, North Carolina |
| Authorized Official Name and Position | Daniel Minior (CEO) |
| Authorized Official Contact | 6463690977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Halo Health, Pc 702 Oberlin Rd Ste 100 Raleigh NC 27605-1357 Ph: (919) 830-3224 | Halo Health, Pc 702 Oberlin Rd Ste 100 Raleigh NC 27605-1357 Ph: (919) 830-3224 |
| NPI Number | 1972134765 |
|---|---|
| Provider Enumeration Date | 01/30/2020 |
| Last Update Date | 01/04/2024 |
| Medicare PECOS PAC ID | 6204249493 |
|---|---|
| Medicare Enrollment ID | O20210107000933 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972134765 | NPI | - | NPPES |
| NC200400717 | Other | NC | NC PHYSICIANS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Daniel Christian Minior |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427151737 PECOS PAC ID: 8123098597 Enrollment ID: I20040731000165 |
| Provider Name | Jessica Yvonne Hatch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558022947 PECOS PAC ID: 2163814948 Enrollment ID: I20220128001461 |
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