Neighborhood Improvement Project Inc | |
33 Varden Dr Aiken SC 29803-5285 | |
(706) 790-4440 | |
(706) 790-4393 |
Full Name | Neighborhood Improvement Project Inc |
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Speciality | Clinic/Center |
Location | 33 Varden Dr, Aiken, South Carolina |
Authorized Official Name and Position | Wesley Wood (CFO) |
Authorized Official Contact | 7067904440 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neighborhood Improvement Project Inc Po Box 63169 Charlotte NC 28263-3169 Ph: (706) 790-4440 | Neighborhood Improvement Project Inc 33 Varden Dr Aiken SC 29803-5285 Ph: (706) 790-4440 |
NPI Number | 1215743638 |
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Provider Enumeration Date | 12/10/2024 |
Last Update Date | 12/10/2024 |
Medicare PECOS PAC ID | 7315851078 |
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Medicare Enrollment ID | O20250214003435 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215743638 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | David Andrew Steiner |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1972508802 PECOS PAC ID: 5092786673 Enrollment ID: I20120328000264 |
Provider Name | Jane A Stafford |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1730456740 PECOS PAC ID: 8527293059 Enrollment ID: I20131108000665 |
Provider Name | Paul M Heffington |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093087850 PECOS PAC ID: 8224266374 Enrollment ID: I20140116001475 |
Provider Name | Jessa Michelle Hollingsworth |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538677927 PECOS PAC ID: 4284995739 Enrollment ID: I20180227000309 |
Provider Name | Carl D Carlin |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1861495418 PECOS PAC ID: 5597116111 Enrollment ID: I20240109000286 |
Provider Name | Matthew Tyra |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1063085462 PECOS PAC ID: 9436590270 Enrollment ID: I20240510003370 |
Provider Name | Jade Neves |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134984644 PECOS PAC ID: 7719419050 Enrollment ID: I20241011002065 |
Provider Name | Jonathan Burch |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1336157817 PECOS PAC ID: 8527144807 Enrollment ID: I20250304000883 |
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