Faith Pediatrics And Adolescent Medicine Inc.

LBN: Faith Pediatrics And Adolescent Medicine Inc.
Faith Pediatrics And Adolescent Medicine Inc. is an health care organization with primary practice located at 3350 Six Forks Rd , Raleigh NC 27609-7233. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Adolescent Medicine is the primary health care specialty. Faith Pediatrics And Adolescent Medicine Inc. can be contacted via phone (919) 881-9440, or through Covington, Connell via phone (919) 881-9440.

Contact Information

Primary practice address
3350 Six Forks Rd Raleigh NC 27609-7233
Phone: (919) 881-9440
Fax: (919) 881-9465
Website:
Map and Directions
Authorized official contact:
Name: Covington, Connell Doctor of Medicine (MD)
Phone: (919) 881-9440

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X

Profile Details

NPI number 1023077211
LBN Legal business name Faith Pediatrics And Adolescent Medicine Inc.
DBA Doing business as
Authorized official Covington, Connell Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2006
Last updated Apr 13th, 2021 - about 3 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 1023077211 NPPES
North Carolina Other 01770 BLUE CROSS BLUE SHIELD
North Carolina MEDICAID 7901770 BLUE CROSS BLUE SHIELD

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