Concord Internal Medicine

LBN: Cmc-Northeast, Inc.
Concord Internal Medicine is an health care organization with primary practice located at 200 Medical Park Dr Suite 550 Concord Internal Medicine, Concord NC 28025-0926. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Cmc-Northeast, Inc. can be contacted via phone (704) 403-1307, or through Lowder, Frieda M via phone (704) 403-4146.

Contact Information

Primary practice address
200 Medical Park Dr Suite 550 Concord Internal Medicine Concord NC 28025-0926
Phone: (704) 403-1307
Fax: (704) 403-1090
Website:
Map and Directions
Authorized official contact:
Name: Lowder, Frieda M
Phone: (704) 403-4146

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X

Profile Details

NPI number 1730128810
LBN Legal business name Cmc-Northeast, Inc.
DBA Doing business as Concord Internal Medicine
Authorized official Lowder, Frieda M
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 5th, 2006
Last updated Jun 1st, 2010 - about 14 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 1730128810 NPPES
North Carolina Other 355573 MAMSI GROUP NUMBER
North Carolina Other CC2854 MAMSI GROUP NUMBER
North Carolina MEDICAID 5906973 MAMSI GROUP NUMBER
North Carolina Other 0279N MAMSI GROUP NUMBER
North Carolina Other 019FP MAMSI GROUP NUMBER
North Carolina Other 7232 MAMSI GROUP NUMBER
North Carolina MEDICAID 890279N MAMSI GROUP NUMBER
North Carolina Other DF8926 MAMSI GROUP NUMBER
North Carolina Other 566000156022 MAMSI GROUP NUMBER

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