General Medical Clinic, Pa
LBN: General Medical Clinic, Pa
General Medical Clinic, Pa is an health care organization with primary practice located at 2003 Boulevard St Ste C , Greensboro NC 27407-4579. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
General Medical Clinic, Pa can be contacted via phone (336) 633-0407, or through Donnell, Tarshia via phone (336) 301-4264.
Contact Information
Primary practice address
2003 Boulevard St Ste C
Greensboro NC 27407-4579
Phone: (336) 633-0407
Fax: (336) 633-0410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 9700286 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1871522003 |
|---|---|
| LBN Legal business name | General Medical Clinic, Pa |
| DBA Doing business as | |
| Authorized official | Donnell, Tarshia |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 1st, 2006 |
| Last updated | Dec 7th, 2023 - about 2 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 | 1871522003 | NPPES |
| North Carolina | MEDICAID | 5902980 |
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