Hometown Direct Primary Care Pllc | |
124 E Stewart St Coats NC 27521-8352 | |
(919) 901-7344 | |
(877) 807-8251 |
Full Name | Hometown Direct Primary Care Pllc |
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Speciality | Clinic/Center |
Location | 124 E Stewart St, Coats, North Carolina |
Authorized Official Name and Position | Crystal B Rambeau (OWNER) |
Authorized Official Contact | 9199017344 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hometown Direct Primary Care Pllc 3949 Chalybeate Springs Rd Fuquay Varina NC 27526-6207 Ph: (919) 910-7344 | Hometown Direct Primary Care Pllc 124 E Stewart St Coats NC 27521-8352 Ph: (919) 901-7344 |
NPI Number | 1164042412 |
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Provider Enumeration Date | 04/16/2020 |
Last Update Date | 04/10/2025 |
Medicare PECOS PAC ID | 9638592686 |
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Medicare Enrollment ID | O20200708003652 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164042412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Crystal B Rambeau |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518930783 PECOS PAC ID: 8820090004 Enrollment ID: I20070201000467 |
Cape Fear Valley Health Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 N Johnson St, Coats, NC 27521 Phone: 910-897-6423 Fax: 910-897-2540 | |
Coats Medical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 N Johnson St, Coats, NC 27521 Phone: 910-897-6423 Fax: 910-897-2540 |