Goldsboro Pediatrics Pa
LBN: Goldsboro Pediatrics Pa
Goldsboro Pediatrics Pa is an health care organization with primary practice located at 327 Highway 55 West , Mt Olive NC 28365. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Rural Health. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Goldsboro Pediatrics Pa can be contacted via phone (919) 658-9123, or through Riddick, Michael Allen via phone (919) 734-4736.
Contact Information
Primary practice address
327 Highway 55 West
Mt Olive NC 28365
Phone: (919) 658-9123
Fax: (919) 658-8055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1659149896 |
|---|---|
| LBN Legal business name | Goldsboro Pediatrics Pa |
| DBA Doing business as | |
| Authorized official | Riddick, Michael Allen |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Dec 18th, 2023 |
| Last updated | Dec 19th, 2023 - about last year |
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 | 1659149896 | NPPES |
| North Carolina | MEDICAID | 8901644 |
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