Organization
ROBESON HEALTH CARE CORPORATION
Active
Other names
MAXTON MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE TIMOTHY HALL (PRESIDENT CEO)
(910) 521-2900
Entity
Organization
Contact information
Practice address
610 E DR MARTIN LUTHER KING JR DR, MAXTON, NC 28364
(910) 844-5253
(910) 844-3290
Mailing address
60 COMMERCE PLZ, PEMBROKE, NC 28372-7386
(910) 521-2900
(910) 775-9165
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MHL078127
NC
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344569 A/C
—
NC
05
—
6005791
—
NC
Enumeration date
04/28/2006
Last updated
08/16/2018
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