Jacksonville Family Medical Center, Pllc
LBN: Jacksonville Family Medical Center, Pllc
Jacksonville Family Medical Center, Pllc is an health care organization with primary practice located at 2587 Henderson Dr , Jacksonville NC 28546-5253. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Jacksonville Family Medical Center, Pllc can be contacted via phone (910) 938-3200, or through Thomas, Ricky A via phone (910) 938-3200.
Contact Information
Primary practice address
2587 Henderson Dr
Jacksonville NC 28546-5253
Phone: (910) 938-3200
Fax: (910) 938-3043
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36058 | North Carolina |
Profile Details
| NPI number | 1104925056 |
|---|---|
| LBN Legal business name | Jacksonville Family Medical Center, Pllc |
| DBA Doing business as | |
| Authorized official | Thomas, Ricky A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | May 9th, 2008 - about 16 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 | 1104925056 | NPPES |
| North Carolina | Other | DG9898 | RAILROAD MEDICARE PIN |
| North Carolina | MEDICAID | 89011JH | RAILROAD MEDICARE PIN |
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