Northeast Urology Associates Pa

LBN: Cabarrus Urology Clinic Pa
Northeast Urology Associates Pa is an health care organization with primary practice located at 1084 Vinehaven Dr , Concord NC 28025-2438. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Cabarrus Urology Clinic Pa can be contacted via phone (704) 786-5131, or through Blackman, Cameron Trent via phone (704) 786-5131.

Contact Information

Primary practice address
1084 Vinehaven Dr Concord NC 28025-2438
Phone: (704) 786-5131
Fax: (704) 784-4129
Website:
Map and Directions
Authorized official contact:
Name: Blackman, Cameron Trent Doctor of Medicine (MD)
Phone: (704) 786-5131

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1346226024
LBN Legal business name Cabarrus Urology Clinic Pa
DBA Doing business as Northeast Urology Associates Pa
Authorized official Blackman, Cameron Trent Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2005
Last updated Aug 22nd, 2020 - about 4 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 1346226024 NPPES
North Carolina MEDICAID 8901152

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