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Organization

ADOLESCENT CARE CENTER

Active
Parent organization
GATES COUNTY MEDICAL CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
GATES COUNTY MEDICAL CENTER
Authorized official
SYLIVA BOONE R.N. (OFFICE MANAGER)
(252) 357-1226
Entity
Organization

Contact information

Practice address
88 US HIGHWAY 158 W, GATESVILLE, NC 27938-9438
(252) 357-1244
(252) 357-1690
Mailing address
88 US HIGHWAY 158 W, GATESVILLE, NC 27938-9438
(252) 357-1244
(252) 357-1690

Taxonomy

Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8701702
NC
Enumeration date
08/21/2007
Last updated
07/21/2022
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