MEDICARE: HEALTHCARE, 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
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1003371675
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHCARE, INC.

Provider Business Mailing Address
First Line	:	PO BOX 231
Second Line	:
City	:	RED SPRINGS
State	:	NC
Zip	:	28377-0231
Country	:	US
Telephone Number	:	910-843-4262
Fax Number	:

Provider Business Practice Location Address
First Line	:	239 S MAIN ST
Second Line	:
City	:	RED SPRINGS
State	:	NC
Zip	:	28377-1621
Country	:	US
Telephone Number	:	910-843-4262
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CHERYL R LOCKLEAR
Credential	:	D.D.S., M.P.H.
Telephone Number	:	910-843-4262

Provider Enumeration Date	:	02/07/2019
Last Update Date	:	02/07/2019

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Directions to “HEALTHCARE, INC. ” Practice Location

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