| Integrity Wellness Center | |
|
2116 N Cedar St Lumberton NC 28358-3928 | |
| (910) 674-3030 | |
| (910) 674-3051 |
| Full Name | Integrity Wellness Center |
|---|---|
| Speciality | Family Medicine |
| Location | 2116 N Cedar St, Lumberton, North Carolina |
| Authorized Official Name and Position | Tracey Moreno- Silva (PRESIDENT) |
| Authorized Official Contact | 2762528811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrity Wellness Center 2116 N Cedar St Lumberton NC 28358-3928 Ph: (910) 674-3030 | Integrity Wellness Center 2116 N Cedar St Lumberton NC 28358-3928 Ph: (910) 674-3030 |
| NPI Number | 1083236137 |
|---|---|
| Provider Enumeration Date | 05/12/2020 |
| Last Update Date | 03/28/2022 |
| Medicare PECOS PAC ID | 5294157533 |
|---|---|
| Medicare Enrollment ID | O20200615003488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083236137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Tracey R Moreno-silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780131649 PECOS PAC ID: 1850674284 Enrollment ID: I20200615003577 |
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