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NPI Code Detail

MEDICARE: GREENVILLE HEALTH CARE CENTER,PA

MEDICARE: GREENVILLE HEALTH CARE CENTER,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
1207Q00000XFamily Medicine Physician31627NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1BCBS OF NCOTHERNCBCBS GROUP NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851341408
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREENVILLE HEALTH CARE CENTER,PA
Provider Business Mailing Address
First Line : 3121 MOSELEY DR
Second Line :
City : GREENVILLE
State : NC
Zip : 27858-4245
Country : US
Telephone Number : 252-758-4455
Fax Number : 252-758-6742
Provider Business Practice Location Address
First Line : 3121 MOSELEY DR
Second Line :
City : GREENVILLE
State : NC
Zip : 27858-4245
Country : US
Telephone Number : 252-758-4455
Fax Number : 252-758-6742
Authorized Official
Title or Position : MD/OWNER
Name : DR. DONALD A RIBEIRO
Credential : MD
Telephone Number : 252-758-4455
Provider Enumeration Date : 05/12/2006
Last Update Date : 11/16/2007

Similar Medicare Providers

1043197619 — REBECCA CLARK BUNCH NP
Practice Location Address:
3121 MOSELEY DR
GREENVILLE, NC
27858-4245
Practice Phone: 252-758-4455
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1700863073 — MR. CLIFTON LEE QUINN JR. PA-C
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1225017858 — MR. CRAIG GEORGE BRUNO PA
Practice Location Address:
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GREENVILLE, NC
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Practice Fax: 252-758-6742
1700323557 — GREENVILLE HEALTH CARE PA
Practice Location Address:
3121 MOSELEY DR
GREENVILLE, NC
27858-4245
Practice Phone: 252-758-4455
Practice Fax: 252-758-6742
1427840149 — JESSICA PAULSEN
Practice Location Address:
3121 MOSELEY DR
GREENVILLE, NC
27858-4245
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Practice Fax: 252-758-6742
1457133894 — MR. CHRISTOPHER STEPHEN GILL MA, LCMHC
Practice Location Address:
600 LYNNDALE CT STE C
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27858-5443
Practice Phone: 252-999-3477
Practice Fax: 252-631-0658

Directions to “GREENVILLE HEALTH CARE CENTER,PA ” Practice Location

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