Boiling Springs Pediatric & Family Medicine

LBN: Boiling Springs Pediatric & Family Medicine
Boiling Springs Pediatric & Family Medicine is an health care organization with primary practice located at 305 W College Ave A, Shelby NC 28152-8111. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Boiling Springs Pediatric & Family Medicine can be contacted via phone (704) 434-9686, or through Grossell, Michael James via phone (704) 434-9686.

Contact Information

Primary practice address
305 W College Ave A Shelby NC 28152-8111
Fax: (704) 434-9618
Website:
Authorized official contact:
Name: Grossell, Michael James Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9501262 North Carolina

Profile Details

NPI number 1407172091
LBN Legal business name Boiling Springs Pediatric & Family Medicine
DBA Doing business as
Authorized official Grossell, Michael James Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2010
Last updated Apr 16th, 2015 - about 9 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 1407172091 NPPES
North Carolina MEDICAID 1407172091

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