Correct Legal Business Name

LBN: Immediate Care Of Goldsboro, Pllc
Correct Legal Business Name is an health care organization with primary practice located at 2604 Medical Office Pl , Goldsboro NC 27534. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Ambulatory Health Care Facilities / Emergency Care. Ambulatory Health Care Facilities / Emergency Care is the primary health care specialty. Immediate Care Of Goldsboro, Pllc can be contacted via phone (919) 580-0004, or through Grant, Terry A via phone (919) 580-0004.

Contact Information

Primary practice address
2604 Medical Office Pl Goldsboro NC 27534
Phone: (919) 580-0004
Fax: (919) 580-9099
Website:
Map and Directions
Authorized official contact:
Name: Grant, Terry A Doctor of Medicine (MD)
Phone: (919) 580-0004

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Ambulatory Health Care Facilities / Emergency Care 261QE0002X

Profile Details

NPI number 1952397028
LBN Legal business name Immediate Care Of Goldsboro, Pllc
DBA Doing business as Correct Legal Business Name
Authorized official Grant, Terry A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2005
Last updated Jun 5th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952397028 NPPES
Other 0250U BLUE CROSS BLUE SHIELD
MEDICAID 890250U BLUE CROSS BLUE SHIELD

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