Healthreach Community Clinic

NPI 1417131319 - Voluntary or Charitable - 251V00000X

NPI Details
NPI 1417131319
Enumeration Date 12/27/2007
Last Updated 06/26/2014
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name CHARLES RORY CHARLES
Position EXECUTIVE DIRECTOR
Phone (704) 663-1992
Fax (704) 663-2073
Practice Location
400 E STATESVILLE AVE
SUITE 300
MOORESVILLE NC, 28115-2581, US
Phone (704) 663-1992
Fax (704) 663-2073
Business Location
PO BOX 1265
400 E STATESVILLE AVE SUITE 300
MOORESVILLE NC, 28115-1265, US
Phone (704) 663-1992
Fax (704) 663-2073
Toxanomy
Taxonomy Code 251V00000X
License State
License Number
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According to our database, Healthreach Community Clinic NPI is 1417131319, taxonomy code is 251V00000X Healthreach Community Clinic physically located at 400 E Statesville Ave, Mooresville NC, 28115-2581. NPI Number 1033115704 has the healthcare provider type.

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1417131319 NPI number is provided on an as is basis without warranty of any kind. 1417131319 is maintained by the National Plan & Provider Enumeration System. The contents of Healthreach Community Clinic are for informational purposes only.