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Organization
VANCE-WARREN COMPREHENSIVE HEALTH PLAN, INC.
Active
Organization
VANCE-WARREN COMPREHENSIVE HEALTH PLAN, INC.
Active
Other names
HealthCo
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK K JACKSON (CEO)
(252) 456-2181
Entity
Organization
Contact information
Practice address
1 OPPORTUNITY DRIVE, MANSON, NC 27553-0425
(252) 456-2181
(252) 456-2115
Mailing address
1 OPPORTUNITY DRIVE, P. O. BOX 425, MANSON, NC 27553-0425
(252) 456-2181
(252) 456-2115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344566A
—
NC
05
—
344566B
—
NC
05
—
344566C
—
NC
05
—
344566D
—
NC
Enumeration date
04/11/2006
Last updated
12/30/2008
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