Organization
BERTIE COUNTY RURAL HEALTH ASSOCIATION
Active
Parent organization
BERTIE COUNTY RURAL HEALTH ASSOC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BERTIE COUNTY RURAL HEALTH ASSOC.
Authorized official
MRS. SHAVONDA H PUGH (CEO)
(252) 794-1835
Entity
Organization
Contact information
Practice address
104 RHODES AVE, WINDSOR, NC 27983-9656
(252) 794-3042
(252) 794-2911
Mailing address
104 RHODES AVE, PO BOX 628, WINDSOR, NC 27983-9656
(252) 794-3042
(252) 794-2911
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344512C
—
NC
Enumeration date
08/05/2008
Last updated
03/24/2023
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