Atlantic Internal Medicine Pa

LBN: Atlantic Internal Medicine Pa
Atlantic Internal Medicine Pa is an health care organization with primary practice located at 16 Medical Center Dr , Supply NC 28462-3350. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Atlantic Internal Medicine Pa can be contacted via phone (910) 754-8921, or through Crane, Richard D. via phone (910) 754-8921.

Contact Information

Primary practice address
16 Medical Center Dr Supply NC 28462-3350
Fax: (910) 754-7140
Website:
Authorized official contact:
Name: Crane, Richard D. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1982621546
LBN Legal business name Atlantic Internal Medicine Pa
DBA Doing business as
Authorized official Crane, Richard D. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2006
Last updated Feb 1st, 2018 - about 8 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 1982621546 NPPES
North Carolina Other 013FE BCBS
North Carolina MEDICAID 79013FE BCBS

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