Organization
THREE STREAMS FAMILY HEALTH CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERI L SPANGLER (PRACTICE ADMINISTRATOR)
(828) 285-9725
Entity
Organization
Contact information
Practice address
1710 OLD HAYWOOD RD, ASHEVILLE, NC 28806-1154
(828) 285-9725
(828) 285-9762
Mailing address
1710 OLD HAYWOOD RD, ASHEVILLE, NC 28806-1154
(828) 285-9725
(828) 285-9762
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
33789
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16109
BLUE CROSS BLUE SHIELD
NC
01
—
2337793A
MEDIARE PTAN
NC
05
—
89013JX
—
NC
Enumeration date
05/17/2006
Last updated
11/05/2010
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