| Mountain Convenient Care | |
|
106 Frogtown Lane Frogtown Ln Franklin NC 28734 | |
| (828) 482-5494 | |
| Not Available |
| Full Name | Mountain Convenient Care |
|---|---|
| Speciality | Family Medicine |
| Location | 106 Frogtown Lane, Franklin, North Carolina |
| Authorized Official Name and Position | Jodi F Balderrama (OWNER) |
| Authorized Official Contact | 8283690359 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Convenient Care 106 Frogtown Lane Franklin NC 28734 Ph: (828) 369-0359 | Mountain Convenient Care 106 Frogtown Lane Frogtown Ln Franklin NC 28734 Ph: (828) 482-5494 |
| NPI Number | 1922828466 |
|---|---|
| Provider Enumeration Date | 10/10/2024 |
| Last Update Date | 05/06/2025 |
| Certification Date | 04/23/2025 |
| Medicare PECOS PAC ID | 1254859366 |
|---|---|
| Medicare Enrollment ID | O20250513001104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922828466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Jodi Balderrama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407490600 PECOS PAC ID: 0143654780 Enrollment ID: I20200331003515 |
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