Organization
EAST ASHEVILLE FAMILY HEALTH CARE P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA CHERYL FORE NP (OWNER)
(828) 298-7981
Entity
Organization
Contact information
Practice address
997 OLD US HWY 70 W STE A, BLACK MOUNTAIN, NC 28711-4505
(828) 298-7981
(828) 298-6010
Mailing address
997 OLD US HWY 70 W STE A, BLACK MOUNTAIN, NC 28711-4505
(828) 298-7981
(828) 298-6010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
87151
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02742
BCBS NC
NC
01
—
154699
WELLCARE
NC
01
—
2344381
MEDICARE
NC
05
—
790294Q
—
NC
01
—
CH2430
RAILROAD MEDICARE
NC
01
—
X275
BLUE MEDICARE
NC
Enumeration date
06/03/2006
Last updated
02/13/2024
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