Organization
TWIN COUNTY RURAL HEALTH CENTER, INC.
Active
Other names
Rural Health Group - Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDY BELCH BEASLEY CHCS (CORPORATE COMPLIANCE OFFICER)
(252) 536-5791
Entity
Organization
Contact information
Practice address
2064 HWY 125, ROANOKE RAPIDS, NC 27870
(252) 536-5880
(252) 536-2708
Mailing address
PO BOX 640, ROANOKE RAPIDS, NC 27870-0640
(252) 536-5880
(252) 536-2708
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03054
BCBS OF NORTH CAROLINA
NC
05
—
344565D
—
NC
Enumeration date
10/13/2006
Last updated
12/07/2010
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