| Snow Hill Integrated Care Services | |
|
1106 Kingold Blvd Snow Hill NC 28580-1619 | |
| (252) 747-2921 | |
| (252) 221-5879 |
| Full Name | Snow Hill Integrated Care Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1106 Kingold Blvd, Snow Hill, North Carolina |
| Authorized Official Name and Position | Daphne Betts-hemby (CFO) |
| Authorized Official Contact | 2527478162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Snow Hill Integrated Care Services 7 Professional Dr Snow Hill NC 28580-1332 Ph: (252) 747-8162 | Snow Hill Integrated Care Services 1106 Kingold Blvd Snow Hill NC 28580-1619 Ph: (252) 747-2921 |
| NPI Number | 1891798054 |
|---|---|
| Provider Enumeration Date | 05/23/2005 |
| Last Update Date | 02/28/2024 |
| Medicare PECOS PAC ID | 0648189001 |
|---|---|
| Medicare Enrollment ID | O20040117000030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891798054 | NPI | - | NPPES |
| 344554 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 64938 (North Carolina) | Primary |
| Provider Name | Margaret S Choate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598921884 PECOS PAC ID: 5092799734 Enrollment ID: I20040617001600 |
| Provider Name | Linda Ann Straub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417982927 PECOS PAC ID: 8426054438 Enrollment ID: I20061016000217 |
| Provider Name | Anna L Imhoff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063443737 PECOS PAC ID: 8921195892 Enrollment ID: I20071025000155 |
| Provider Name | Marshall J Barker |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1083655005 PECOS PAC ID: 4880762541 Enrollment ID: I20081007000883 |
| Provider Name | Elie M Osta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861468902 PECOS PAC ID: 4284697376 Enrollment ID: I20100728000676 |
| Provider Name | Jean Frances Conlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932428935 PECOS PAC ID: 8820113814 Enrollment ID: I20100914001038 |
| Provider Name | Holly Alisha Carraway Warren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629236013 PECOS PAC ID: 8123276318 Enrollment ID: I20120913000002 |
| Provider Name | Sampoorna Velineni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982968061 PECOS PAC ID: 1557670213 Enrollment ID: I20151020000802 |
| Provider Name | Leslie Dawn Chitwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639549181 PECOS PAC ID: 3072823350 Enrollment ID: I20151117002754 |
| Provider Name | Deborah Viola Deena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548784853 PECOS PAC ID: 9234495474 Enrollment ID: I20171103002919 |
| Provider Name | Kim Edwards Dixon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154764090 PECOS PAC ID: 0547512600 Enrollment ID: I20181018000011 |
| Provider Name | Candace H Beddard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962050047 PECOS PAC ID: 8123450236 Enrollment ID: I20191112000013 |
| Provider Name | Kassie Soefje Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902167364 PECOS PAC ID: 7810204286 Enrollment ID: I20201027002452 |
| Provider Name | Frankie Jones Letchworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417617168 PECOS PAC ID: 1052780293 Enrollment ID: I20221212000609 |
| Provider Name | Linda Boothe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912931502 PECOS PAC ID: 9931104304 Enrollment ID: I20230125002210 |
| Provider Name | Chelsea Brynn Hurley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649939059 PECOS PAC ID: 7618348632 Enrollment ID: I20230130000529 |
| Provider Name | Xinran Hu |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1295047926 PECOS PAC ID: 4688074479 Enrollment ID: I20240215001577 |
Hope Medical Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1304 Se 2nd St, Britthaven Of Snow Hill, Snow Hill, NC 28580 Phone: 252-747-8126 | |
Student Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 140 School Dr, Snow Hill, NC 28580 Phone: 252-747-5841 Fax: 252-747-4916 | |
Kate B Reynolds Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Martin L King Jr Pkwy, Snow Hill, NC 28580 Phone: 252-747-4199 Fax: 252-221-5308 | |
Greene County Department Of Public Health - Mass Immunizations Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 227 Kingold Blvd, Suite B, Snow Hill, NC 28580 Phone: 252-747-8181 Fax: 252-747-8946 | |
Greene County Health Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Professional Dr, Snow Hill, NC 28580 Phone: 252-747-8162 | |
Heritage Family Health And Wellness Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1108b Kingold Blvd, Snow Hill, NC 28580 Phone: 252-524-1069 |