| Wnc Longterm Healthcare, Pllc | |
|
510 Balsam Rd Hendersonville NC 28792-5703 | |
| (828) 693-4431 | |
| Not Available |
| Full Name | Wnc Longterm Healthcare, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 510 Balsam Rd, Hendersonville, North Carolina |
| Authorized Official Name and Position | Larry J Russell (OWNER) |
| Authorized Official Contact | 8286934431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wnc Longterm Healthcare, Pllc Po Box 2570 Hendersonville NC 28793-2570 Ph: (828) 693-4431 | Wnc Longterm Healthcare, Pllc 510 Balsam Rd Hendersonville NC 28792-5703 Ph: (828) 693-4431 |
| NPI Number | 1326384652 |
|---|---|
| Provider Enumeration Date | 12/13/2012 |
| Last Update Date | 06/10/2013 |
| Medicare PECOS PAC ID | 3678727294 |
|---|---|
| Medicare Enrollment ID | O20130207000371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326384652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Larry J Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891772513 PECOS PAC ID: 5597678987 Enrollment ID: I20040427001004 |
| Provider Name | Joy M Ciaccio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356326920 PECOS PAC ID: 4486628740 Enrollment ID: I20040823000813 |
| Provider Name | Julie Timmons Ruch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538243415 PECOS PAC ID: 2769450089 Enrollment ID: I20040923000520 |
| Provider Name | Jan S Allison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891732491 PECOS PAC ID: 3072526896 Enrollment ID: I20060721000248 |
| Provider Name | Albert Shederick Ford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558369462 PECOS PAC ID: 4486746401 Enrollment ID: I20070822001184 |
| Provider Name | Linda Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417083874 PECOS PAC ID: 4284720095 Enrollment ID: I20071009000852 |
| Provider Name | Donald L Culver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144228800 PECOS PAC ID: 8426139742 Enrollment ID: I20100617000465 |
| Provider Name | Beverly A Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477551919 PECOS PAC ID: 5991836264 Enrollment ID: I20100630000445 |
| Provider Name | Alicia Kay Younger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558674648 PECOS PAC ID: 8123143054 Enrollment ID: I20101011001015 |
| Provider Name | Rebecca Spring Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275968216 PECOS PAC ID: 7416182795 Enrollment ID: I20131022000507 |
| Provider Name | Jamie Mccall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477833473 PECOS PAC ID: 6002087145 Enrollment ID: I20150506002063 |
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