| Pembroke Family Practice Center | |
|
412 S. Jones St. Pembroke NC 28372 | |
| (910) 521-4462 | |
| (910) 521-7739 |
| Full Name | Pembroke Family Practice Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 412 S. Jones St., Pembroke, North Carolina |
| Authorized Official Name and Position | Lucien Stonge (CFO) |
| Authorized Official Contact | 9102917547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pembroke Family Practice Center Po Box 604093 Charlotte NC 28260-4093 Ph: (910) 291-7000 | Pembroke Family Practice Center 412 S. Jones St. Pembroke NC 28372 Ph: (910) 521-4462 |
| NPI Number | 1508850447 |
|---|---|
| Provider Enumeration Date | 09/07/2005 |
| Last Update Date | 09/22/2022 |
| Medicare PECOS PAC ID | 0648208504 |
|---|---|
| Medicare Enrollment ID | O20030627000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508850447 | NPI | - | NPPES |
| 01512 | Other | NC | BCBS |
| DE7674 | Other | NC | RAILROAD MEDICARE |
| 34-3982 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (North Carolina) | Primary |
Integrated Pain & Injury Center, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 812 Candy Park Rd, Suite 6103, Pembroke, NC 28372 Phone: 910-521-3093 Fax: 910-521-3095 | |
Harris Family Practice At Angel Exchange Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 East Livermore Drive, Pembroke, NC 28372 Phone: 910-272-6422 | |
Angel Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 East Livermore Drive, Pembroke, NC 28372 Phone: 910-272-6422 Fax: 910-521-4237 | |
Brooks Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7729 Nc 711 Highway, Pembroke, NC 28372 Phone: 910-521-4221 Fax: 910-521-9266 | |
Southeastern Integrated Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 68 Three Hunts Dr Ste A, Pembroke, NC 28372 Phone: 910-522-0408 Fax: 704-931-9199 | |
Pembroke Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 South Main Street, Pembroke, NC 28372 Phone: 910-521-0510 Fax: 910-521-5582 | |
West Primary-urgent Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 923 W 3rd St, Pembroke, NC 28372 Phone: 910-522-8888 Fax: 910-522-6688 |