Freedom Medical Clinic & Urgent Care Pa
LBN: Freedom Medical Clinic & Urgent Care Pa
Freedom Medical Clinic & Urgent Care Pa is an health care organization with primary practice located at 2905 Freedom Drive , Charlotte NC 28208-3857. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Freedom Medical Clinic & Urgent Care Pa can be contacted via phone (704) 394-3033, or through Badika, Ndofunsu via phone (704) 394-3033.
Contact Information
Primary practice address
2905 Freedom Drive
Charlotte NC 28208-3857
Phone: (704) 394-3033
Fax: (704) 394-3395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1255450235 |
|---|---|
| LBN Legal business name | Freedom Medical Clinic & Urgent Care Pa |
| DBA Doing business as | |
| Authorized official | Badika, Ndofunsu Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Jul 14th, 2014 - about 11 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 | 1255450235 | NPPES |
| North Carolina | Other | 2346988 | MEDIARE PTAN |
| North Carolina | MEDICAID | 5901934 | MEDIARE PTAN |
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