Crossroads Family Medical Care P.A.

LBN: Crossroads Family Medical Care P.A.
Crossroads Family Medical Care P.A. is an health care organization with primary practice located at 3121 Plateau Rd , Newton NC 28658-8900. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Crossroads Family Medical Care P.A. can be contacted via phone (704) 276-9200, or through Parker, Bill Jack via phone (704) 276-9200.

Contact Information

Primary practice address
3121 Plateau Rd Newton NC 28658-8900
Phone: (704) 276-9200
Fax: (704) 276-9300
Website:
Map and Directions
Authorized official contact:
Name: Parker, Bill Jack Doctor of Medicine (MD)
Phone: (704) 276-9200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38402 North Carolina

Profile Details

NPI number 1063692515
LBN Legal business name Crossroads Family Medical Care P.A.
DBA Doing business as
Authorized official Parker, Bill Jack Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2007
Last updated Nov 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063692515 NPPES
North Carolina MEDICAID 7965234

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