Long Beach Family Medical Center
LBN: Long Beach Family Medical Center
Long Beach Family Medical Center is an health care organization with primary practice located at 4700 E Oak Island Dr Suite F, Oak Island NC 28465-5200. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Long Beach Family Medical Center can be contacted via phone (910) 278-3500, or through Holland, George Thomas via phone (910) 278-3500.
Contact Information
Primary practice address
4700 E Oak Island Dr Suite F
Oak Island NC 28465-5200
Phone: (910) 278-3500
Fax: (910) 278-7233
Website:
Authorized official contact:
Name: Holland, George Thomas Doctor of Medicine (MD)
Phone: (910) 278-3500
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | 0039512 | North Carolina |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 39512 | North Carolina |
Profile Details
| NPI number | 1295715076 |
|---|---|
| LBN Legal business name | Long Beach Family Medical Center |
| DBA Doing business as | |
| Authorized official | Holland, George Thomas Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Aug 25th, 2008 - about 17 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 | 1295715076 | NPPES |
| North Carolina | Other | 207Q00000X | MEDICARE TAXOMONY |
| North Carolina | Other | 207Q00000X | MEDICARE TAXOMONY |
| North Carolina | MEDICAID | 8943093 | MEDICARE TAXOMONY |
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