Organization
BAKERSVILLE COMMUNITY MEDICAL CLINIC, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES W. SHELTON (CEO)
(828) 688-2104
Entity
Organization
Contact information
Practice address
202 MEDICAL CAMPUS DR, BURNSVILLE, NC 28714-9004
(828) 682-6118
Mailing address
PO BOX 27, BAKERSVILLE, NC 28705-0027
(828) 688-2104
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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