MEDICARE: MEDICORPCARE, 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	261QC1800X	Corporate Health Clinic/Center

General Provider Information

NPI Number	:	1326003419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICORPCARE, INC

Provider Business Mailing Address
First Line	:	PO BOX 2825
Second Line	:
City	:	MATTHEWS
State	:	NC
Zip	:	28106-2825
Country	:	US
Telephone Number	:	775-205-4828
Fax Number	:	775-743-5983

Provider Business Practice Location Address
First Line	:	1817 WATLINGTON DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28270-0785
Country	:	US
Telephone Number	:	775-205-4828
Fax Number	:	775-743-5983

Authorized Official
Title or Position	:	OWNER/DIRECTOR
Name	:	MR. RAUL A RECAREY
Credential	:
Telephone Number	:	775-205-4828

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	08/22/2020

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