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NPI Code Detail

MEDICARE: THE ARC OF MOORE COUNTY INC.

MEDICARE: THE ARC OF MOORE COUNTY INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251V00000XVoluntary or Charitable Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194870378
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE ARC OF MOORE COUNTY INC.
Provider Business Mailing Address
First Line : PO BOX 773
Second Line :
City : SOUTHERN PINES
State : NC
Zip : 28388-0773
Country : US
Telephone Number : 910-692-8272
Fax Number : 910-692-4343
Provider Business Practice Location Address
First Line : 673 S BENNETT ST
Second Line :
City : SOUTHERN PINES
State : NC
Zip : 28387-5919
Country : US
Telephone Number : 910-692-8272
Fax Number : 910-692-4343
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : WENDY RUSSELL
Credential :
Telephone Number : 910-692-8272
Provider Enumeration Date : 01/25/2007
Last Update Date : 08/22/2020

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