Medical Clinic Of Sharpsburg
LBN: Excellent Spirit Enterprise, Inc.
Medical Clinic Of Sharpsburg is an health care organization with primary practice located at 9201 County Line Road , Sharpsburg NC 27878-9998. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty.
Excellent Spirit Enterprise, Inc. can be contacted via phone (252) 446-4455, or through Pickett, John Robert via phone (252) 446-4455.
Contact Information
Primary practice address
9201 County Line Road
Sharpsburg NC 27878-9998
Phone: (252) 446-4455
Fax: (704) 625-0372
Website:
Authorized official contact:
Name: Pickett, John Robert Doctor of Osteopathy (DO)
Phone: (252) 446-4455
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | 200000114 | North Carolina |
Profile Details
| NPI number | 1760715486 |
|---|---|
| LBN Legal business name | Excellent Spirit Enterprise, Inc. |
| DBA Doing business as | Medical Clinic Of Sharpsburg |
| Authorized official | Pickett, John Robert Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 14th, 2009 |
| Last updated | Mar 29th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760715486 | NPPES |
| North Carolina | MEDICAID | 344644C | |
| North Carolina | MEDICAID | 344644A |
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