| Randleman Medical Clinic, Llc | |
|
670 W Academy St Randleman NC 27317-9748 | |
| (336) 498-8500 | |
| (336) 498-8522 |
| Full Name | Randleman Medical Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 670 W Academy St, Randleman, North Carolina |
| Authorized Official Name and Position | Kristin L Carter (OFFICE MANAGER) |
| Authorized Official Contact | 3364988500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Randleman Medical Clinic, Llc 670 W Academy St Randleman NC 27317-9748 Ph: (336) 498-8500 | Randleman Medical Clinic, Llc 670 W Academy St Randleman NC 27317-9748 Ph: (336) 498-8500 |
| NPI Number | 1477810265 |
|---|---|
| Provider Enumeration Date | 04/18/2012 |
| Last Update Date | 02/16/2022 |
| Medicare PECOS PAC ID | 7214199306 |
|---|---|
| Medicare Enrollment ID | O20120508000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477810265 | NPI | - | NPPES |
| 5920523 | Medicaid | NC | |
| 1710920335 | Other | NC | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Regina Faith York |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780667840 PECOS PAC ID: 6103808977 Enrollment ID: I20040604000351 |
| Provider Name | Joanna Rose Inman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457927998 PECOS PAC ID: 4789080383 Enrollment ID: I20210907003528 |
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Randleman Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 S Main St, Randleman, NC 27317 Phone: 336-498-8500 Fax: 336-498-8522 | |
Optimus Medical Center At Randleman Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 S Main St, Randleman, NC 27317 Phone: 336-545-1515 Fax: 336-545-4505 | |
Pine Haven Family Medicine Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 604 West Academy St, Randleman, NC 27317 Phone: 336-498-1200 Fax: 336-498-1206 |