Organization
PIEDMONT HEALTH SERVICES, INC
Active
Other names
Moncure CHC Dental
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN TOOMEY (CEO)
(919) 933-8494
Entity
Organization
Contact information
Practice address
7228 MONCURE PITTSBORO RD, MONCURE, NC 27559-9595
(919) 542-4991
Mailing address
7228 MONCURE PITTSBORO RD, MONCURE, NC 27559-9595
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344513D
—
NC
Enumeration date
07/31/2013
Last updated
07/31/2013
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