Independence Medical, Pa
LBN: Independence Medical, Pa
Independence Medical, Pa is an health care organization with primary practice located at 515 Barbour Rd , Smithfield NC 27577-7698. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty.
Independence Medical, Pa can be contacted via phone (919) 544-4747, or through Bennett, Bernard L via phone (919) 622-8272.
Contact Information
Primary practice address
515 Barbour Rd
Smithfield NC 27577-7698
Phone: (919) 544-4747
Fax: (919) 544-0104
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 36493 | North Carolina |
Profile Details
| NPI number | 1700845112 |
|---|---|
| LBN Legal business name | Independence Medical, Pa |
| DBA Doing business as | |
| Authorized official | Bennett, Bernard L Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Oct 31st, 2013 - about 12 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 | 1700845112 | NPPES |
| North Carolina | Other | DA5493 | MEDICARE RAILROAD |
| North Carolina | MEDICAID | 891028P | MEDICARE RAILROAD |
| North Carolina | MEDICAID | 1028P | MEDICARE RAILROAD |
| North Carolina | Other | P00062870 | MEDICARE RAILROAD |
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