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NPI Code Detail

MEDICARE: OPPORTUNITIES INDUSTRIALIZATION CENTER, INC

MEDICARE: OPPORTUNITIES INDUSTRIALIZATION CENTER, 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
1261QF0400XFederally Qualified Health Center (FQHC)NC

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 : 1922020908
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPPORTUNITIES INDUSTRIALIZATION CENTER, INC
Provider Business Mailing Address
First Line : PO BOX 2723
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27802-2723
Country : US
Telephone Number : 252-212-6802
Fax Number : 252-212-3497
Provider Business Practice Location Address
First Line : 111 S FAIRVIEW RD
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27801-6971
Country : US
Telephone Number : 252-446-3333
Fax Number : 252-212-3497
Authorized Official
Title or Position : BILLING MANAGER
Name : SHIRLEY MONK-JONES
Credential :
Telephone Number : 252-212-3486
Provider Enumeration Date : 07/25/2006
Last Update Date : 03/29/2022

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Directions to “OPPORTUNITIES INDUSTRIALIZATION CENTER, INC ” Practice Location

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