| Spartanburg Medical Center | |
|
281 E Main St Forest City NC 28043-3126 | |
| (828) 245-6400 | |
| (864) 560-4413 |
| Full Name | Spartanburg Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 281 E Main St, Forest City, North Carolina |
| Authorized Official Name and Position | Kenneth Meinke (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8645606000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spartanburg Medical Center Po Box 743070 Atlanta GA 30374-3070 Ph: (864) 560-4304 | Spartanburg Medical Center 281 E Main St Forest City NC 28043-3126 Ph: (828) 245-6400 |
| NPI Number | 1568400174 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 12/09/2014 |
| Medicare PECOS PAC ID | 3072425297 |
|---|---|
| Medicare Enrollment ID | O20040513000988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568400174 | NPI | - | NPPES |
| 0153M | Other | NC | BS GROUP# |
| 890153M | Medicaid | NC | |
| CN1627 | Other | SC | RAILROAD MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Loretta A Dickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376513523 PECOS PAC ID: 8022151190 Enrollment ID: I20100211000594 |
| Provider Name | John Mark Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033189717 PECOS PAC ID: 3971598012 Enrollment ID: I20100429000267 |
| Provider Name | Karen D Wantuch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245577154 PECOS PAC ID: 8820236268 Enrollment ID: I20130524000451 |
Gaston Family Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 Chase High Rd, Forest City, NC 28043 Phone: 704-874-9005 | |
Rutherford Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1269 Hwy 221 A, Forest City, NC 28043 Phone: 828-657-5371 Fax: 828-657-9190 | |
Mainstreet And Kidsstreet Of North Carolina Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 187 Lowes Blvd, Forest City, NC 28043 Phone: 828-395-1232 | |
Pain Management Plus Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 249 Oak St, Forest City, NC 28043 Phone: 980-279-5801 Fax: 828-919-2394 | |
Cleveland Health Ventures Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 249 Oak St, Forest City, NC 28043 Phone: 828-245-3158 Fax: 828-247-6484 | |
Rutherford Internal Medicine Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 Daniel Rd, Forest City, NC 28043 Phone: 828-286-9036 | |
Carolinas Physicians Network, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 249 Oak St, Forest City, NC 28043 Phone: 828-245-3158 Fax: 828-247-6484 |