Ardsley Internal Medicine Renaissance Square

LBN: Carolinas Medical Center-Northeast
Ardsley Internal Medicine Renaissance Square is an health care organization with primary practice located at 2101 Shiloh Church Rd Suite 201, Davidson NC 28036-7601. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Carolinas Medical Center-Northeast can be contacted via phone (704) 403-8650, or through Lowder, Frieda M via phone (704) 403-4146.

Contact Information

Primary practice address
2101 Shiloh Church Rd Suite 201 Davidson NC 28036-7601
Fax: (704) 403-8655
Website:
Authorized official contact:
Name: Lowder, Frieda M

Health care specialties

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

Profile Details

NPI number 1265607493
LBN Legal business name Carolinas Medical Center-Northeast
DBA Doing business as Ardsley Internal Medicine Renaissance Square
Authorized official Lowder, Frieda M
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 29th, 2008
Last updated Mar 28th, 2014 - about 10 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 1265607493 NPPES
North Carolina Other DF8926 RAILROAD MEDICARE PTAN
North Carolina Other 019FV RAILROAD MEDICARE PTAN
North Carolina MEDICAID 5950094 RAILROAD MEDICARE PTAN

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