Pediatric Pavilion At Huntersville

LBN: Cmc-Northeast, Inc.
Pediatric Pavilion At Huntersville is an health care organization with primary practice located at 16623 Birkdale Cmns Pkwy Suite 110 Pediatric Pavilion At Huntersville, Huntersville NC 28078-5621. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Cmc-Northeast, Inc. can be contacted via phone (704) 987-4277, or through Lowder, Frieda M via phone (704) 403-4146.

Contact Information

Primary practice address
16623 Birkdale Cmns Pkwy Suite 110 Pediatric Pavilion At Huntersville Huntersville NC 28078-5621
Phone: (704) 987-4277
Fax: (704) 987-5096
Website:
Map and Directions
Authorized official contact:
Name: Lowder, Frieda M
Phone: (704) 403-4146

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X

Profile Details

NPI number 1023161726
LBN Legal business name Cmc-Northeast, Inc.
DBA Doing business as Pediatric Pavilion At Huntersville
Authorized official Lowder, Frieda M
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 18th, 2007
Last updated Feb 5th, 2009 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1023161726 NPPES
North Carolina Other 355573 MAMSI
North Carolina Other 566000156020 MAMSI
North Carolina MEDICAID 5904836 MAMSI
North Carolina MEDICAID 5906850 MAMSI

Popular Providers