Health Plus of NC PA

Organization Active NPI General Practice Physician · Candor, NC

NPI 1790796118 · NPPES record last updated Jan 13, 2010

Key facts

NPI
1790796118
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
Legal business name
HEALTH PLUS OF NC PA
Practice address
210 East Main St.
Candor, NC 27229-8088
Phone
(910) 974-7555
Fax
(910) 974-4555
NPI assigned
Aug 10, 2006
Organization subpart
No

Authorized official

Name
Mrs. Kathy R Elliott, LPN
Title
Office Manager
Phone
(910) 974-7555

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

280 N Main St
Biscoe, NC 27209
Phone (910) 428-9277

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
208D00000X Yes
General Practice Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
208D00000X 9701632 NC
Medical Physician Assistant
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
363AM0700X 101376 NC

Addresses

Primary practice location

210 East Main St.
Candor, NC 27229-8088

Mailing address

210 East Main St.
Candor, NC 27229-8088
Phone (910) 974-7555

Other identifiers

IdentifierTypeStateIssuer
O11WUOtherNCBCBS
89011WUMedicaidNC
2344648OtherNCMEDICARE

Other providers in Candor, NC

All providers in Candor, NC · General Practice Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.