Carolina Adult Medicine, Pa
LBN: Carolina Adult Medicine, Pa
Carolina Adult Medicine, Pa is an health care organization with primary practice located at 568 Ruin Creek Rd Suite 002, Henderson NC 27536-2880. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Carolina Adult Medicine, Pa can be contacted via phone (252) 438-7777, or through Gruchacz, Mark John via phone (252) 438-7777.
Contact Information
Primary practice address
568 Ruin Creek Rd Suite 002
Henderson NC 27536-2880
Phone: (252) 438-7777
Fax: (252) 438-7190
Website:
Authorized official contact:
Name: Gruchacz, Mark John Doctor of Medicine (MD)
Phone: (252) 438-7777
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 9700258 | North Carolina |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 9701734 | North Carolina |
Profile Details
| NPI number | 1477512812 |
|---|---|
| LBN Legal business name | Carolina Adult Medicine, Pa |
| DBA Doing business as | |
| Authorized official | Gruchacz, Mark John Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477512812 | NPPES |
| North Carolina | Other | 016G2 | BCBS GROUP NUMBER |
| North Carolina | MEDICAID | 89016G2 | BCBS GROUP NUMBER |
Popular Providers
-
Henderson Clinic For Women Pa
511 Ruin Creek Rd Ste 101, Henderson NC 27536-5919 -
Sun Medical Supply Inc
946 W Andrews Ave Suite P, Henderson NC 27536-2500 -
Triangle Home Health Care, Inc
1432 Deer Crossing Ct , Henderson NC 27536-4037 -
Senior Citizens Medical Supply
578 Rowland St , Henderson NC 27536-4358 -
Sundar Internal Medicine Associates, Pa
511 Ruin Creek Rd Suite:203, Henderson NC 27536-5919 -
D Michael Mahan Md Pa
120 Charles D Rollins Rd Suite 105, Henderson NC 27536-2882 -
County Of Vance Office Of Treasurer
122 Young St Suite B, Henderson NC 27536-4268 -
Henderson Emergency Physicians, Pllc
566 Ruin Creek Rd Henderson Emergency Physicians, Henderson NC 27536-2927