NPI 1053590661

First Commmunity of Triad

Organisation Health Maintenance Organization Kernersville, NC

Practice location

Address: 36 Wendy CT, Kernersville, NC 27284-9095
Phone: (336) 497-4184

Authorised official

Name: Terri Peters
Title: Administrator
Phone: (336) 497-4184

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in North Carolina →

Registry record

NPI: 1053590661
Entity type: Organization
NPI issued: 31 Oct 2007
Record last updated: 31 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.