Goldsboro Medical Specialists Pa

LBN: Goldsboro Medical Specialists Pa
Goldsboro Medical Specialists Pa is an health care organization with primary practice located at 201 Cox Blvd , Goldsboro NC 27534-9479. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Goldsboro Medical Specialists Pa can be contacted via phone (919) 734-9455, or through Stackhouse, William James via phone (919) 734-9455.

Contact Information

Primary practice address
201 Cox Blvd Goldsboro NC 27534-9479
Phone: (919) 734-9455
Fax: (919) 734-4769
Website:
Map and Directions
Authorized official contact:
Name: Stackhouse, William James Doctor of Medicine (MD)
Phone: (919) 734-9455

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1770552069
LBN Legal business name Goldsboro Medical Specialists Pa
DBA Doing business as
Authorized official Stackhouse, William James Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2006
Last updated Aug 12th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770552069 NPPES
North Carolina Other 01643 BLUE CR OSS
North Carolina MEDICAID 8901643 BLUE CR OSS

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