Organization
STEDMAN-WADE HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELIA R HORTON CPC (DIRECTOR OF OPERATIONS)
(910) 483-2853
Entity
Organization
Contact information
Practice address
7118 MAIN ST, WADE, NC 28395-9749
(910) 483-6694
(910) 483-2215
Mailing address
PO BOX 449, WADE, NC 28395-0449
(910) 483-2853
(910) 483-2215
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
305S00000X
Point of Service
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02972
BCBS
—
05
—
344511A
—
NC
05
—
344511C
—
NC
05
—
344511D
—
NC
05
—
89132103
—
NC
Enumeration date
01/27/2006
Last updated
05/23/2024
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