First Foundation Clinic Of The Carolinas Charlotte, Pc
LBN: First Foundation Clinic Of The Carolinas Charlotte, Pc
First Foundation Clinic Of The Carolinas Charlotte, Pc is an health care organization with primary practice located at 4938 Central Ave , Charlotte NC 28205-5871. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
First Foundation Clinic Of The Carolinas Charlotte, Pc can be contacted via phone (704) 567-0465, or through Ogu, Donatus O via phone (704) 866-4607.
Contact Information
Primary practice address
4938 Central Ave
Charlotte NC 28205-5871
Phone: (704) 567-0465
Fax: (704) 567-2940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1275595795 |
|---|---|
| LBN Legal business name | First Foundation Clinic Of The Carolinas Charlotte, Pc |
| DBA Doing business as | |
| Authorized official | Ogu, Donatus O Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Sep 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275595795 | NPPES |
| North Carolina | MEDICAID | 89016H3 |
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