MEDICARE: RED SPRINGS FAMILY MEDICINE CLINIC, PA

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	261QR1300X	Rural Health Clinic/Center

Other Identifiers

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

General Provider Information

NPI Number	:	1396771564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RED SPRINGS FAMILY MEDICINE CLINIC, PA

Provider Business Mailing Address
First Line	:	229 S MAIN ST
Second Line	:	PO BOX 391
City	:	RED SPRINGS
State	:	NC
Zip	:	28377-1621
Country	:	US
Telephone Number	:	910-843-9991
Fax Number	:	910-843-9995

Provider Business Practice Location Address
First Line	:	229 S MAIN ST
Second Line	:
City	:	RED SPRINGS
State	:	NC
Zip	:	28377-1621
Country	:	US
Telephone Number	:	910-843-9991
Fax Number	:	910-843-9995

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ROBERT LEE HOLLINGSWORTH
Credential	:	PA-C
Telephone Number	:	910-843-9991

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1104396258 — BL APOTHECARY
Practice Location Address:

229 S MAIN ST
RED SPRINGS, NC
28377-1621

Practice Phone: 910-359-8009
Practice Fax: 910-227-2397

1003371675 — HEALTHCARE, INC.
Practice Location Address:

239 S MAIN ST
RED SPRINGS, NC
28377-1621

Practice Phone: 910-843-4262
Practice Fax:

1609861913 — DR. LAWRENCE FRIEMAN M.D.
Practice Location Address:

75 W FRONT ST
RED BANK, NJ
07701-1621

Practice Phone: 732-741-4242
Practice Fax:

1669467536 — BRETT FRIEMAN D.O.
Practice Location Address:

75 W FRONT ST
RED BANK, NJ
07701-1621

Practice Phone: 732-741-4242
Practice Fax:

1124084645 — LAWRENCE FRIEMAN MD PA
Practice Location Address:

75 W FRONT ST
RED BANK, NJ
07701-1621

Practice Phone: 732-741-4242
Practice Fax: 732-758-9277

1760334825 — KIRSTEN SHAYE BOATRIGHT
Practice Location Address:

1621 WIDEFIELD DR
COLORADO SPRINGS, CO
80911-1107

Practice Phone: 910-336-5511
Practice Fax:

Directions to “RED SPRINGS FAMILY MEDICINE CLINIC, PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.