| Vance-warren Comprehensive Health Plan, Inc. | |
|
1 Opportunity Drive Manson NC 27553-0425 | |
| (252) 456-2181 | |
| (252) 456-2115 |
| Full Name | Vance-warren Comprehensive Health Plan, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Opportunity Drive, Manson, North Carolina |
| Authorized Official Name and Position | Patrick K Jackson (CEO) |
| Authorized Official Contact | 2524562181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vance-warren Comprehensive Health Plan, Inc. 1 Opportunity Drive P. O. Box 425 Manson NC 27553-0425 Ph: (252) 456-2181 | Vance-warren Comprehensive Health Plan, Inc. 1 Opportunity Drive Manson NC 27553-0425 Ph: (252) 456-2181 |
| NPI Number | 1992768881 |
|---|---|
| Provider Enumeration Date | 04/11/2006 |
| Last Update Date | 12/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992768881 | NPI | - | NPPES |
| 344566C | Medicaid | NC | |
| 344566B | Medicaid | NC | |
| 344566D | Medicaid | NC | |
| 344566A | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |