Organization
FIRST CHOICE COMMUNITY HEALTH CENTERS
Active
Other names
Boone Trail Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA L SIMMONS (CEO)
(910) 364-0971
Entity
Organization
Contact information
Practice address
1000 MEDICAL CENTER ROAD, MAMERS, NC 27552-0397
(910) 893-3063
(910) 897-2567
Mailing address
40 AUTUMN FERN TRL, LILLINGTON, NC 27546-5155
(910) 364-0971
(910) 814-4064
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2804129
MEDICARE PART B
NC
05
—
344509A
—
NC
Enumeration date
07/25/2006
Last updated
05/03/2018
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