Organization
WINCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY L RUDDICK (GENERAL MANAGER)
(252) 937-2080
Entity
Organization
Contact information
Practice address
1558 S. WINSTEAD AVE, ROCKY MOUNT, NC 27803-1650
(252) 937-2080
(252) 937-4660
Mailing address
PO BOX 7276, ROCKY MOUNT, NC 27804-0276
(252) 937-2080
(252) 937-4660
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009107231
—
VA
01
—
0467F
BLUE CROSS BLUE SHIELD OF NC
NC
01
—
0467F
BLUE CROSS BLUE SHIELD FEDERAL
—
05
—
100347340A
—
KS
01
—
263113
ANTHEM BLUE CROSS BLUE SH
VA
05
—
7586819301
—
KS
05
—
7702534
—
NC
05
—
DM1152
—
SC
Enumeration date
06/03/2006
Last updated
04/24/2023
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