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Organization
MEDICAL RESOURCE CENTER FOR RANDOLPH COUNTY, INC.
Active
Organization
MEDICAL RESOURCE CENTER FOR RANDOLPH COUNTY, INC.
Active
Other names
MERCE Family Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY HURLEY (CREDITALING SPECIALIST)
(336) 672-1300
Entity
Organization
Contact information
Practice address
1831 NORTH FAYETTEVILLE ST, ASHEBORO, NC 27203
(336) 672-1300
(336) 672-3044
Mailing address
1831 N FAYETTEVILLE ST, ASHEBORO, NC 27203-3273
(336) 672-1300
(336) 672-3044
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
207Q00000X
Family Medicine Physician
Primary
200200805
NC
207Q00000X
Family Medicine Physician
29728
NC
261QF0400X
Federally Qualified Health Center (FQHC)
—
NULL
261QU0200X
Urgent Care Clinic/Center
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0282R
BCBS
NC
05
—
890282R
—
NC
Enumeration date
01/03/2007
Last updated
08/22/2019
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