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Organization
THE CENTER FOR RURAL HEALTH INNOVATION
Active
Organization
THE CENTER FOR RURAL HEALTH INNOVATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA NORTH (EXECUTIVE DIRECTOR)
(828) 284-1541
Entity
Organization
Contact information
Practice address
167 LOCUST ST STE 204, SPRUCE PINE, NC 28777-2702
(828) 467-8815
(828) 367-7827
Mailing address
167 LOCUST ST STE 204, SPRUCE PINE, NC 28777-2702
(828) 467-8815
(828) 367-7827
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
235013
NC
207QA0000X
Adolescent Medicine (Family Medicine) Physician
235013
NC
208000000X
Pediatrics Physician
235013
NC
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235013
MEDICAL LICENSE
NC
Enumeration date
12/19/2011
Last updated
07/06/2023
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