Gastonia Medical Specialty Clinic Pa

LBN: Gastonia Medical Specialty Clinic Pa
Gastonia Medical Specialty Clinic Pa is an health care organization with primary practice located at 1021 X Ray Dr , Gastonia NC 28054-7489. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Gastonia Medical Specialty Clinic Pa can be contacted via phone (704) 867-2341, or through Jarratt, Mikell J via phone (704) 867-2341.

Contact Information

Primary practice address
1021 X Ray Dr Gastonia NC 28054-7489
Fax: (704) 867-9019
Website:
Authorized official contact:
Name: Jarratt, Mikell J Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1023048279
LBN Legal business name Gastonia Medical Specialty Clinic Pa
DBA Doing business as
Authorized official Jarratt, Mikell J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Oct 8th, 2014 - about 10 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 1023048279 NPPES
North Carolina Other 01627 BCBSNC GROUP PROVIDER #
North Carolina MEDICAID NPA701 BCBSNC GROUP PROVIDER #
North Carolina Other CC5252 BCBSNC GROUP PROVIDER #
North Carolina MEDICAID 5920537 BCBSNC GROUP PROVIDER #

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