Holladay Medicorp, Inc.

LBN: Holladay Medicorp, Inc.
Holladay Medicorp, Inc. is an health care organization with primary practice located at 2551 Landmark Dr , Winston-Salem NC 27103-6717. The organization recently has only one registered license in Suppliers / Parenteral & Enteral Nutrition, which is considered as the primary health care specialty. Holladay Medicorp, Inc. can be contacted via phone (336) 760-2111, or through Elledge, Nick via phone (336) 679-8852.

Contact Information

Primary practice address
2551 Landmark Dr Winston-Salem NC 27103-6717
Phone: (336) 760-2111
Fax: (336) 768-7731
Website:
Map and Directions
Authorized official contact:
Name: Elledge, Nick
Phone: (336) 679-8852

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Parenteral & Enteral Nutrition 332BP3500X

Profile Details

NPI number 1801862750
LBN Legal business name Holladay Medicorp, Inc.
DBA Doing business as
Authorized official Elledge, Nick
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1801862750 NPPES
North Carolina MEDICAID 7700359

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