Stovall Medical Center
Organization Active NPI Rural Health Clinic/Center · Stovall, NC
NPI 1720148414 · NPPES record last updated May 12, 2008
Key facts
- NPI
- 1720148414
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- STOVALL MEDICAL CENTER
- Practice address
- 100 Durham St.
Stovall, NC 27582 - Phone
- (919) 690-8880
- Fax
- (919) 690-8882
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Cristina Blalock
- Title
- Director
- Phone
- (919) 690-8880
Practitioners 1
-
Dennis Michael Mahan, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
100 Durham St.
Stovall, NC 27582
Mailing address
PO Box 27
Stovall, NC 27582-0027
Phone (919) 690-8880
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5906025 | Medicaid | NC | |
| 5821143 | Other | NC | CIGNA |
| 018XG | Other | NC | BCBS |
Other providers in Stovall, NC
- David Scott Lewis
- Phidelma Achieng Ndege
- Precious Care Home Care Agency
- Rural Health Group, Inc.
- Rural Health Group, Inc.
All providers in Stovall, NC · Rural Health Clinic/Center in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.