Edison Square Family Medicine
LBN: Cmc-Northeast, Inc.
Edison Square Family Medicine is an health care organization with primary practice located at 10030 Edison Square Dr Nw Suite 100, Concord NC 28027-8252. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Cmc-Northeast, Inc. can be contacted via phone (704) 403-7830, or through Lowder, Frieda M via phone (704) 403-4146.
Contact Information
Primary practice address
10030 Edison Square Dr Nw Suite 100
Concord NC 28027-8252
Phone: (704) 403-7830
Fax: (704) 403-7840
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1265764443 |
|---|---|
| LBN Legal business name | Cmc-Northeast, Inc. |
| DBA Doing business as | Edison Square Family Medicine |
| Authorized official | Lowder, Frieda M |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 12th, 2010 |
| Last updated | Sep 9th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265764443 | NPPES |
| North Carolina | Other | 232009 | MEDICARE PTAN, GROUP |
| North Carolina | MEDICAID | 5914718 | MEDICARE PTAN, GROUP |
| North Carolina | Other | DF8926 | MEDICARE PTAN, GROUP |
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