Indian Trail Medical Clinic, Inc.

LBN: Indian Trail Medical Clinic, Inc.
Indian Trail Medical Clinic, Inc. is an health care organization with primary practice located at 301 S. Indian Trail Road , Indian Trail NC 28079. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Indian Trail Medical Clinic, Inc. can be contacted via phone (704) 821-7056, or through Tsai, George S.C. via phone (704) 821-7056.

Contact Information

Primary practice address
301 S. Indian Trail Road Indian Trail NC 28079
Phone: (704) 821-7056
Fax: (704) 821-7057
Website:
Map and Directions
Authorized official contact:
Name: Tsai, George S.C. Doctor of Medicine (MD)
Phone: (704) 821-7056

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 22284 North Carolina

Profile Details

NPI number 1790823672
LBN Legal business name Indian Trail Medical Clinic, Inc.
DBA Doing business as
Authorized official Tsai, George S.C. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated Jan 28th, 2010 - about 14 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 1790823672 NPPES
North Carolina MEDICAID 8901856
North Carolina Other 01856

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