Hardee Family Medicine Pa
LBN: Hardee Family Medicine Pa
Hardee Family Medicine Pa is an health care organization with primary practice located at 444 Williamson Rd Suite E , Mooresville NC 28117. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Hardee Family Medicine Pa can be contacted via phone (704) 658-9779, or through Hardee, Michael Wayne via phone (704) 658-9779.
Contact Information
Primary practice address
444 Williamson Rd Suite E
Mooresville NC 28117
Phone: (704) 658-9779
Fax: (704) 658-9773
Website:
Authorized official contact:
Name: Hardee, Michael Wayne Doctor of Medicine (MD)
Phone: (704) 658-9779
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200000816 | North Carolina |
Profile Details
| NPI number | 1881640035 |
|---|---|
| LBN Legal business name | Hardee Family Medicine Pa |
| DBA Doing business as | |
| Authorized official | Hardee, Michael Wayne Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Aug 13th, 2015 - about 9 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 | 1881640035 | NPPES |
| North Carolina | Other | 34D1027431 | CLIA MEDICARE/MEDICAID |
| North Carolina | MEDICAID | 7902629 | CLIA MEDICARE/MEDICAID |
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