Organization
BOOMER MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH NEWMAN PIERCE (ADMINISTRATOR)
(336) 921-2273
Entity
Organization
Contact information
Practice address
156 BOOMER COMMUNITY CENTER RD, BOOMER, NC 28606-9199
(336) 921-2273
(336) 921-2405
Mailing address
PO BOX 238, 156 BOOMER COMMUNITY CENTER RD, BOOMER, NC 28606-9199
(336) 921-2273
(336) 921-2405
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343930A
—
NC
Enumeration date
11/28/2006
Last updated
04/16/2008
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