Organization
PENSLOW HEALTH CLINIC INC
Active
Other names
Penslow Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL B HINES (OFFICE MANAGER)
(910) 329-7591
Entity
Organization
Contact information
Practice address
206 N DYSON ST, HOLLY RIDGE, NC 28445
(910) 329-7591
(910) 329-1592
Mailing address
PO BOX 159, HOLLY RIDGE, NC 28445
(910) 329-7591
(910) 329-1592
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313803C
—
NC
05
—
3438034A
—
NC
Enumeration date
09/20/2006
Last updated
04/16/2008
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