| Granville Health System | |
|
1614 Nc Highway 56 Creedmoor NC 27522-8297 | |
| (919) 575-6103 | |
| (919) 575-6817 |
| Full Name | Granville Health System |
|---|---|
| Speciality | Clinic/Center |
| Location | 1614 Nc Highway 56, Creedmoor, North Carolina |
| Authorized Official Name and Position | Jamie Purvis (CFO) |
| Authorized Official Contact | 9196903237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Granville Health System Po Box 986 Oxford NC 27565-0986 Ph: (919) 575-6103 | Granville Health System 1614 Nc Highway 56 Creedmoor NC 27522-8297 Ph: (919) 575-6103 |
| NPI Number | 1265430854 |
|---|---|
| Provider Enumeration Date | 07/08/2005 |
| Last Update Date | 10/11/2024 |
| Medicare PECOS PAC ID | 1052223757 |
|---|---|
| Medicare Enrollment ID | O20090427000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265430854 | NPI | - | NPPES |
| 344645A | Medicaid | NC | |
| 344645C | Medicaid | NC | |
| 02578 | Other | NC | BCBSNC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Duke University Affiliated Physicians, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2503 E Lyon Station Rd, Creedmoor, NC 27522 Phone: 919-528-1535 |