| Five Points Medical Center, Pc | |
|
300 Mack Rd Asheboro NC 27205-1066 | |
| (336) 625-1172 | |
| (336) 625-6434 |
| Full Name | Five Points Medical Center, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 Mack Rd, Asheboro, North Carolina |
| Authorized Official Name and Position | Josh Lewis (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 3366251172 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Five Points Medical Center, Pc Po Box 2005 Asheboro NC 27204-2005 Ph: (336) 625-1172 | Five Points Medical Center, Pc 300 Mack Rd Asheboro NC 27205-1066 Ph: (336) 625-1172 |
| NPI Number | 1760428551 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 02/01/2022 |
| Medicare PECOS PAC ID | 4082671300 |
|---|---|
| Medicare Enrollment ID | O20041217000319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760428551 | NPI | - | NPPES |
| 012YF | Other | NC | BCBS |
| 89012YF | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 200200287 (North Carolina) | Primary |
| Provider Name | Tara Gunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093033060 PECOS PAC ID: 8426229816 Enrollment ID: I20110914000864 |
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