Organization
STANLY MEDICAL SERVICES, INC.
Active
Other names
Oakboro Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MARINDY BOST HARRIS (MANAGER REVENUE CYCLE)
(704) 983-7320
Entity
Organization
Contact information
Practice address
112 E 1ST ST, OAKBORO, NC 28129-9715
(704) 485-3319
(704) 485-3310
Mailing address
320 YADKIN ST, STE B, ALBEMARLE, NC 28001-3447
(704) 983-7320
(704) 983-6153
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0235P
BCBS
NC
01
—
348904
MEDICARE A
NC
05
—
348904A
—
NC
01
—
348904C
MEDICAID C
NC
Enumeration date
11/07/2005
Last updated
07/17/2013
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