# MEDICAL RESOURCE CENTER FOR RANDOLPH COUNTY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MERCE Family Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801953088
- **Authorized official:** CATHY HURLEY (CREDITALING SPECIALIST)
- **Authorized official phone:** (336) 672-1300

## Contact information

- **Practice address:** 1831 NORTH FAYETTEVILLE ST, ASHEBORO, NC 27203
- **Practice address phone:** (336) 672-1300
- **Practice address fax:** (336) 672-3044
- **Mailing address:** 1831 N FAYETTEVILLE ST, ASHEBORO, NC 27203-3273
- **Mailing address phone:** (336) 672-1300
- **Mailing address fax:** (336) 672-3044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 207Q00000X | Family Medicine Physician | 200200805 | NC | Yes |
| 207Q00000X | Family Medicine Physician | 29728 | NC | — |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 08/22/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0282R | BCBS | NC |
| 05 | — | 890282R | — | NC |