Organization
LIFEBRITE HOSPITAL GROUP OF STOKES, LLC
Active
Organization
LIFEBRITE HOSPITAL GROUP OF STOKES, LLC
Active
Other names
LifeBrite Family Medical of King
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN FLETCHER (CEO)
(336) 593-5311
Entity
Organization
Contact information
Practice address
167 MOORE RD, KING, NC 27021-8770
(336) 983-6898
(336) 983-6921
Mailing address
167 MOORE RD, KING, NC 27021-8770
(336) 983-6898
(336) 983-6921
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G557
MEDICARE PART B PTAN
NC
01
—
H0165
HOSPITAL LICENSURE
NC
Enumeration date
11/28/2016
Last updated
03/22/2017
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