Loginclinics, Pllc | |
406 Us 1 Hwy Ste A Youngsville NC 27596-7847 | |
(919) 946-7076 | |
(888) 315-7712 |
Full Name | Loginclinics, Pllc |
---|---|
Speciality | Clinic/Center |
Location | 406 Us 1 Hwy Ste A, Youngsville, North Carolina |
Authorized Official Name and Position | Jaclyn Suzanne Qualter (MANAGING MEMBER) |
Authorized Official Contact | 9199467076 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Loginclinics, Pllc 406 Us 1 Hwy Ste A Youngsville NC 27596-7847 Ph: (919) 946-7076 | Loginclinics, Pllc 406 Us 1 Hwy Ste A Youngsville NC 27596-7847 Ph: (919) 946-7076 |
NPI Number | 1003472804 |
---|---|
Provider Enumeration Date | 05/16/2019 |
Last Update Date | 03/03/2022 |
Medicare PECOS PAC ID | 4385052562 |
---|---|
Medicare Enrollment ID | O20210428001830 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003472804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Jaclyn S Qualter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174543730 PECOS PAC ID: 6002811841 Enrollment ID: I20060928000501 |
Medaccess Urgent Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Us 1 Hwy, Ste 100, Youngsville, NC 27596 Phone: 919-562-2340 Fax: 919-562-2315 | |
Aj Care Telehealth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 Pickerel Crest Way, Youngsville, NC 27596 Phone: 828-513-7161 |