Harborside Pediatrics, Pllc

LBN: Harborside Pediatrics, Pllc
Harborside Pediatrics, Pllc is an health care organization with primary practice located at 311 Williamson Rd Ste 100, Mooresville NC 28117-5966. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Harborside Pediatrics, Pllc can be contacted via phone (704) 664-2552, or through Rinker, Shelley H via phone (704) 664-2552.

Contact Information

Primary practice address
311 Williamson Rd Ste 100 Mooresville NC 28117-5966
Fax: (704) 664-5382
Website:
Authorized official contact:
Name: Rinker, Shelley H Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35735 North Carolina

Profile Details

NPI number 1952369761
LBN Legal business name Harborside Pediatrics, Pllc
DBA Doing business as
Authorized official Rinker, Shelley H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2006
Last updated Jan 6th, 2009 - about 16 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 1952369761 NPPES
North Carolina MEDICAID 89012P1
North Carolina Other 012P1

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