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NPI Code Detail

MEDICARE: GREENE COUNTY HEALTH CARE INCORPORATED

MEDICARE: GREENE COUNTY HEALTH CARE INCORPORATED
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
1261QF0400XFederally Qualified Health Center (FQHC)64938NC

Other Identifiers

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

General Provider Information

NPI Number : 1891798054
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREENE COUNTY HEALTH CARE INCORPORATED
Provider Business Mailing Address
First Line : 7 PROFESSIONAL DR
Second Line :
City : SNOW HILL
State : NC
Zip : 28580-1332
Country : US
Telephone Number : 252-747-8162
Fax Number : 252-747-8163
Provider Business Practice Location Address
First Line : 1106 KINGOLD BLVD
Second Line :
City : SNOW HILL
State : NC
Zip : 28580-1619
Country : US
Telephone Number : 252-747-2921
Fax Number : 252-221-5879
Authorized Official
Title or Position : CFO
Name : DAPHNE BETTS-HEMBY
Credential :
Telephone Number : 252-747-8162
Provider Enumeration Date : 05/23/2005
Last Update Date : 01/16/2025

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Directions to “GREENE COUNTY HEALTH CARE INCORPORATED ” Practice Location

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