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Organization

POLK COUNTY COMMUNITY HEALTH & WELLNESS CENTER, INC

Active
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Organization

POLK COUNTY COMMUNITY HEALTH & WELLNESS CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY JO STARK (OFFICE MANAGER)
(828) 894-2222
Entity
Organization

Contact information

Practice address
801 W MILLS ST STE A&B, COLUMBUS, NC 28722-8494
(828) 894-2222
Mailing address
PO BOX 130, COLUMBUS, NC 28722-0130
(828) 894-2222

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740484575
NPI
NC
05
—
6000122
—
NC
05
—
6005017
—
NC
05
—
6102994
—
NC
05
—
6106296
—
NC
05
—
7912153
—
NC
Enumeration date
02/17/2009
Last updated
03/04/2009
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