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
Phone: (704) 867-2341
Fax: (704) 867-9019
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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