Organization
MEDICAL RESOURCE CENTER FOR RANDOLPH COUNTY, INC.
Active
Other names
MERCE Family Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY HURLEY (CREDITALING SPECIALIST)
(336) 672-1300
Entity
Organization
Contact information
Practice address
1831 NORTH FAYETTEVILLE ST, ASHEBORO, NC 27203
(336) 672-1300
(336) 672-3044
Mailing address
1831 N FAYETTEVILLE ST, ASHEBORO, NC 27203-3273
(336) 672-1300
(336) 672-3044
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
207Q00000X
Family Medicine Physician
Primary
200200805
NC
207Q00000X
Family Medicine Physician
29728
NC
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0282R
BCBS
NC
01
—
0282R
BCBS
—
05
—
890282R
—
NC
Enumeration date
01/03/2007
Last updated
08/22/2019
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