Carolina Radiation Medicine, Pa
LBN: Carolina Radiation Medicine, Pa
Carolina Radiation Medicine, Pa is an health care organization with primary practice located at 801 W H Smith Blvd , Greenville NC 27834-3764. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty.
Carolina Radiation Medicine, Pa can be contacted via phone (252) 329-0025, or through Koltis, Gordon Gary via phone (252) 329-0025.
Contact Information
Primary practice address
801 W H Smith Blvd
Greenville NC 27834-3764
Phone: (252) 329-0025
Fax: (252) 329-0325
Website:
Authorized official contact:
Name: Koltis, Gordon Gary Doctor of Medicine (MD)
Phone: (252) 329-0025
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Radiology | 261QR0200X |
Profile Details
| NPI number | 1053315093 |
|---|---|
| LBN Legal business name | Carolina Radiation Medicine, Pa |
| DBA Doing business as | |
| Authorized official | Koltis, Gordon Gary Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Jul 18th, 2008 - about 16 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 | 1053315093 | NPPES |
| North Carolina | Other | 118170 | TRICARE |
| North Carolina | Other | 24-00059 | TRICARE |
| North Carolina | MEDICAID | 89010SK | TRICARE |
| North Carolina | Other | 010SK | TRICARE |
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