Organization
PIEDMONT HEALTH SERVICES, INC
Active
Other names
Moncure Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA F MASON (CFO)
(919) 933-8494
Entity
Organization
Contact information
Practice address
7228 MONCURE-PITTSBORO ROAD, MONCURE, NC 27559-0980
(919) 542-4991
(919) 542-3726
Mailing address
PO BOX 17179, CHAPEL HILL, NC 27516-7179
(919) 933-8494
(919) 933-9201
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344513
—
NC
Enumeration date
09/12/2006
Last updated
06/12/2019
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