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NPI Code Detail

MEDICARE: ALBEMARLE REGIONAL HEALTH SERVICES

MEDICARE: ALBEMARLE REGIONAL HEALTH SERVICES
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
1251B00000XCase Management Agency
2261QC1500XCommunity Health Clinic/Center
3261QD0000XDental Clinic/Center
4261QF0050XNon-Surgical Family Planning Clinic/Center
5261QM1000XMigrant Health Clinic/Center
6261QM2500XMedical Specialty Clinic/Center
7261QP2300XPrimary Care Clinic/Center
8291U00000XClinical Medical Laboratory34D0668425NC
93336C0002XClinic Pharmacy
10261QP0905XState or Local Public Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
234D0668425OTHERNCCLIA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
434D2241744OTHERNCCLIA

General Provider Information

NPI Number : 1659468130
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALBEMARLE REGIONAL HEALTH SERVICES
Provider Business Mailing Address
First Line : PO BOX 189
Second Line :
City : ELIZABETH CITY
State : NC
Zip : 27907-0189
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 711 ROANOKE AVE
Second Line :
City : ELIZABETH CITY
State : NC
Zip : 27909-5643
Country : US
Telephone Number : 252-338-4404
Fax Number :
Authorized Official
Title or Position : HEALTH DIRECTOR
Name : MRS. ASHLEY STOOP
Credential : MPH
Telephone Number : 252-338-4491
Provider Enumeration Date : 10/06/2006
Last Update Date : 10/12/2023

Similar Medicare Providers

1821068073 — ASHLEY DAVIS WILLIAMS M.S.N., C.N.M.
Practice Location Address:
711 ROANOKE AVE
ELIZABETH CITY, NC
27909-5643
Practice Phone: 252-338-4400
Practice Fax:
1457457145 — MRS. DANA NUNES BOSLAU RN
Practice Location Address:
711 ROANOKE AVE
ELIZABETH CITY, NC
27909-5643
Practice Phone: 252-338-4412
Practice Fax:
1114027273 — MRS. JUDITH NILSEN CUDWORTH NP
Practice Location Address:
711 ROANOKE AVE
ELIZABETH CITY, NC
27909-5643
Practice Phone: 252-338-4400
Practice Fax:
1396845483 — MRS. JUANITA MEADS MELKO FNP-C
Practice Location Address:
711 ROANOKE AVE
ELIZABETH CITY, NC
27909-5643
Practice Phone: 252-338-4400
Practice Fax: 252-337-6792
1710078159 — AMY TEMPLE ROSENBERGER RN, BSN
Practice Location Address:
711 ROANOKE AVE
ELIZABETH CITY, NC
27909-5643
Practice Phone: 252-338-4400
Practice Fax: 252-338-4440
1841380698 — JANET W ROGERS RN, NP
Practice Location Address:
711 ROANOKE AVE
ELIZABETH CITY, NC
27909-5643
Practice Phone: 252-338-4400
Practice Fax:

Directions to “ALBEMARLE REGIONAL HEALTH SERVICES ” Practice Location

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