| Lifebrite Hospital Group Of Stokes, Llc | |
|
3853 Us 311 Hwy N Pine Hall NC 27042-8184 | |
| (336) 593-5311 | |
| (336) 593-5350 |
| Full Name | Lifebrite Hospital Group Of Stokes, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3853 Us 311 Hwy N, Pine Hall, North Carolina |
| Authorized Official Name and Position | Pamela Priddy Tillman (ADMINISTRATOR) |
| Authorized Official Contact | 3365935314 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifebrite Hospital Group Of Stokes, Llc 3853 Us 311 Hwy N Pine Hall NC 27042-8184 Ph: (336) 427-3076 | Lifebrite Hospital Group Of Stokes, Llc 3853 Us 311 Hwy N Pine Hall NC 27042-8184 Ph: (336) 593-5311 |
| NPI Number | 1346775285 |
|---|---|
| Provider Enumeration Date | 04/28/2017 |
| Last Update Date | 03/27/2019 |
| Medicare PECOS PAC ID | 8921380759 |
|---|---|
| Medicare Enrollment ID | O20181113001550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346775285 | NPI | - | NPPES |
| H0165 | Other | NC | STATE LICENSURE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | H0165 (North Carolina) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | H0165 (North Carolina) | Secondary |
Novant Health Stokes Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3853 Us 311 Hwy N, Pine Hall, NC 27042 Phone: 336-427-3076 | |
Novant Health Stokes Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3853 Us 311 Hwy N, Pine Hall, NC 27042 Phone: 336-427-3076 |