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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376600718 | NPPES |
| North Carolina | MEDICAID | 8973845 | |
| North Carolina | MEDICAID | 8902716 |
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