| Hildebran Medical Clinic, Llc | |
|
107 S Center St Hildebran NC 28637-8304 | |
| (828) 397-3522 | |
| (828) 397-5271 |
| Full Name | Hildebran Medical Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 107 S Center St, Hildebran, North Carolina |
| Authorized Official Name and Position | Ilar Davidson (OFFICE MANAGER) |
| Authorized Official Contact | 8283973522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hildebran Medical Clinic, Llc Po Box 829 Hildebran NC 28637-0829 Ph: (828) 397-3522 | Hildebran Medical Clinic, Llc 107 S Center St Hildebran NC 28637-8304 Ph: (828) 397-3522 |
| NPI Number | 1598765935 |
|---|---|
| Provider Enumeration Date | 07/28/2005 |
| Last Update Date | 04/07/2020 |
| Medicare PECOS PAC ID | 2365481397 |
|---|---|
| Medicare Enrollment ID | O20050428001246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598765935 | NPI | - | NPPES |
| 790274T | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 33531 (North Carolina) | Primary |
| Provider Name | Gary Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750329918 PECOS PAC ID: 8224139050 Enrollment ID: I20070724000531 |
| Provider Name | Aaron Vu Swisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255331609 PECOS PAC ID: 8729273453 Enrollment ID: I20101108001189 |
| Provider Name | Lisa Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346811411 PECOS PAC ID: 6608274832 Enrollment ID: I20211001001807 |
Hildebran-icard Medical Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 Main Ave. West, Hildebran, NC 28637 Phone: 828-397-5561 Fax: 828-397-3226 |