Rudisill Family Practice, Pa

LBN: Integrated Care Of Greater Hickory, Inc
Rudisill Family Practice, Pa is an health care organization with primary practice located at 741 5Th St Sw , Hickory NC 28602-3230. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Agencies / Community/Behavioral Health, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Agencies / Community/Behavioral Health is the primary health care specialty. Integrated Care Of Greater Hickory, Inc can be contacted via phone (828) 322-5915, or through Blakeman, Douglas David via phone (828) 322-5915.

Contact Information

Primary practice address
741 5Th St Sw Hickory NC 28602-3230
Phone: (828) 322-5915
Fax: (828) 345-0387
Website:
Map and Directions
Authorized official contact:
Name: Blakeman, Douglas David RMA
Phone: (828) 322-5915

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 21863 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 21863 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X 21863 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X
Agencies / Community/Behavioral Health 251S00000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1376600718
LBN Legal business name Integrated Care Of Greater Hickory, Inc
DBA Doing business as Rudisill Family Practice, Pa
Authorized official Blakeman, Douglas David RMA
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2007
Last updated Apr 8th, 2022 - about 2 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 1376600718 NPPES
North Carolina MEDICAID 8973845
North Carolina MEDICAID 8902716

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