Act Medical Group Pa

LBN: Act Medical Group Pa
Act Medical Group Pa is an health care organization with primary practice located at 311-4E Judges Rd , Wilmington NC 28405-3655. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / General Practice. Other Service Providers / Specialist is the primary health care specialty. Act Medical Group Pa can be contacted via phone (910) 791-6767, or through Beekman, Erinn M via phone (910) 791-6767.

Contact Information

Primary practice address
311-4E Judges Rd Wilmington NC 28405-3655
Phone: (910) 791-6767
Fax: (910) 791-6890
Website:
Map and Directions
Authorized official contact:
Name: Beekman, Erinn M
Phone: (910) 791-6767

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 87550 North Carolina
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1245219799
LBN Legal business name Act Medical Group Pa
DBA Doing business as
Authorized official Beekman, Erinn M
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2006
Last updated Dec 20th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245219799 NPPES
North Carolina Other 016UG BCBSNC PRIMARY CARE ONLY
North Carolina Other 0706G BCBSNC PRIMARY CARE ONLY
North Carolina MEDICAID 890706G BCBSNC PRIMARY CARE ONLY
North Carolina MEDICAID 6005401 BCBSNC PRIMARY CARE ONLY
North Carolina Other CI3714 BCBSNC PRIMARY CARE ONLY
North Carolina Other 20992 BCBSNC PRIMARY CARE ONLY
North Carolina Other E698 BCBSNC PRIMARY CARE ONLY

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