Cannon Family Medicine

LBN: Cannon Family Medicine
Cannon Family Medicine is an health care organization with primary practice located at 1035 Dale Earnhardt Blvd , Kannapolis NC 28083-4481. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Cannon Family Medicine can be contacted via phone (704) 933-2266, or through Caggiano, Natalia B via phone (704) 933-2266.

Contact Information

Primary practice address
1035 Dale Earnhardt Blvd Kannapolis NC 28083-4481
Fax: (704) 933-5954
Website:
Authorized official contact:
Name: Caggiano, Natalia B

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X 117123 North Carolina

Profile Details

NPI number 1255399374
LBN Legal business name Cannon Family Medicine
DBA Doing business as
Authorized official Caggiano, Natalia B
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2006
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 1255399374 NPPES
North Carolina MEDICAID 89015VW

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