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NPI Code Detail

MEDICARE: WESTERN NORTH CAROLINA COMMUNITY HEALTH SERVICES INC

MEDICARE: WESTERN NORTH CAROLINA COMMUNITY 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
1333600000XPharmacy
23336C0002XClinic Pharmacy06141NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22071220OTHERPK

General Provider Information

NPI Number : 1780610907
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESTERN NORTH CAROLINA COMMUNITY HEALTH SERVICES INC
Provider Business Mailing Address
First Line : PO BOX 338
Second Line :
City : ASHEVILLE
State : NC
Zip : 28802-0338
Country : US
Telephone Number : 828-255-4870
Fax Number :
Provider Business Practice Location Address
First Line : 257 BILTMORE AVE
Second Line :
City : ASHEVILLE
State : NC
Zip : 28801-4120
Country : US
Telephone Number : 828-285-0622
Fax Number : 828-255-4880
Authorized Official
Title or Position : PRESIDENT
Name : CARLOS GOMEZ
Credential :
Telephone Number : 828-255-4870
Provider Enumeration Date : 06/23/2006
Last Update Date : 02/20/2017

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1285694182 — DR. MICHAEL M MEADOR D.O.
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1437189784 — WESTERN NC COMMUNITY HEALTH SVCS
Practice Location Address:
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28801-4120
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Directions to “WESTERN NORTH CAROLINA COMMUNITY HEALTH SERVICES INC ” Practice Location

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