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NPI Code Detail

MEDICARE: PIEDMONT HEALTH SERVICES, INC

MEDICARE: PIEDMONT HEALTH SERVICES, 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
1261QF0400XFederally Qualified Health Center (FQHC)

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 : 1851723951
Entity Type Code : Organization
Provider Name (Legal Business Name) : PIEDMONT HEALTH SERVICES, INC
Provider Business Mailing Address
First Line : 7228 MONCURE PITTSBORO RD
Second Line :
City : MONCURE
State : NC
Zip : 27559-9595
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7228 MONCURE PITTSBORO RD
Second Line :
City : MONCURE
State : NC
Zip : 27559-9595
Country : US
Telephone Number : 919-542-4991
Fax Number :
Authorized Official
Title or Position : CEO
Name : BRIAN TOOMEY
Credential :
Telephone Number : 919-933-8494
Provider Enumeration Date : 07/31/2013
Last Update Date : 07/31/2013

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