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Organization

NEW HANOVER COMMUNITY HEALTH CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALFRED L. THOMAS MSW (CHIEF EXECUTIVE OFFICER)
(910) 254-4690
Entity
Organization

Contact information

Practice address
925 N 4TH ST, WILMINGTON, NC 28401-3450
(910) 254-4690
(910) 251-1540
Mailing address
925 N 4TH ST, WILMINGTON, NC 28401-3450
(910) 254-4690
(910) 251-1540

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0155P
BLUECROSS BLUESHIELD
NC
05
344555
NC
01
8700429
MEDICAID (HIV CASE MGMT)
NC
Enumeration date
05/15/2007
Last updated
08/22/2020
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