Organization
STOVALL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRISTINA BLALOCK (DIRECTOR)
(919) 690-8880
Entity
Organization
Contact information
Practice address
100 DURHAM ST., STOVALL, NC 27582
(919) 690-8880
(919) 690-8882
Mailing address
PO BOX 27, STOVALL, NC 27582-0027
(919) 690-8880
(919) 690-8882
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018XG
BCBS
NC
01
—
5821143
CIGNA
NC
05
—
5906025
—
NC
Enumeration date
12/11/2006
Last updated
05/12/2008
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