Holly Ridge Healthcare Pa

LBN: Holly Ridge Healthcare Pa
Holly Ridge Healthcare Pa is an health care organization with primary practice located at 119 Holly St , Holly Ridge NC 28445-7898. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Holly Ridge Healthcare Pa can be contacted via phone (910) 329-1707, or through Pridgen, James Henry via phone (910) 329-1707.

Contact Information

Primary practice address
119 Holly St Holly Ridge NC 28445-7898
Phone: (910) 329-1707
Fax: (910) 329-1716
Website:
Map and Directions
Authorized official contact:
Name: Pridgen, James Henry Doctor of Medicine (MD)
Phone: (910) 329-1707

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29495 North Carolina

Profile Details

NPI number 1558544957
LBN Legal business name Holly Ridge Healthcare Pa
DBA Doing business as
Authorized official Pridgen, James Henry Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2007
Last updated Mar 28th, 2019 - 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 1558544957 NPPES
North Carolina MEDICAID 89012R8

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