Leicester Medical Clinic Pc

LBN: Leicester Medical Clinic Pc
Leicester Medical Clinic Pc is an health care organization with primary practice located at 304 New Leicester Hwy Suite A, Asheville NC 28806. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Leicester Medical Clinic Pc can be contacted via phone (828) 255-4723, or through Peterson, Susan Wynn via phone (828) 255-4723.

Contact Information

Primary practice address
304 New Leicester Hwy Suite A Asheville NC 28806
Fax: (828) 255-4726
Website:
Authorized official contact:
Name: Peterson, Susan Wynn Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X North Carolina

Profile Details

NPI number 1649399528
LBN Legal business name Leicester Medical Clinic Pc
DBA Doing business as
Authorized official Peterson, Susan Wynn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1649399528 NPPES
North Carolina MEDICAID 89129H0

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