Carolina Family Medicine & Urgent Care Pa

LBN: Carolina Family Medicine & Urgent Care Pa
Carolina Family Medicine & Urgent Care Pa is an health care organization with primary practice located at 1503 E Broad St , Statesville NC 28625-4301. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Carolina Family Medicine & Urgent Care Pa can be contacted via phone (704) 871-9731, or through Brown, Codey Jean via phone (704) 871-9731.

Contact Information

Primary practice address
1503 E Broad St Statesville NC 28625-4301
Phone: (704) 871-9731
Fax: (704) 871-1105
Website:
Map and Directions
Authorized official contact:
Name: Brown, Codey Jean
Phone: (704) 871-9731

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200001772371 North Carolina

Profile Details

NPI number 1740499714
LBN Legal business name Carolina Family Medicine & Urgent Care Pa
DBA Doing business as
Authorized official Brown, Codey Jean
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2007
Last updated Jun 26th, 2012 - about 12 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 1740499714 NPPES
North Carolina MEDICAID 89014W8
North Carolina Other 014W8

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