Masonboro Family Medicine, P.C.
LBN: Masonboro Family Medicine, P.C.
Masonboro Family Medicine, P.C. is an health care organization with primary practice located at 6419 Carolina Beach Road Suite A, Wilmington NC 28412-2788. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty.
Masonboro Family Medicine, P.C. can be contacted via phone (910) 790-3660, or through Carter, Erin via phone (910) 790-3660.
Contact Information
Primary practice address
6419 Carolina Beach Road Suite A
Wilmington NC 28412-2788
Phone: (910) 790-3660
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Preferred Provider Organization | 305R00000X |
Profile Details
| NPI number | 1417018565 |
|---|---|
| LBN Legal business name | Masonboro Family Medicine, P.C. |
| DBA Doing business as | |
| Authorized official | Carter, Erin |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jan 3rd, 2011 - about 13 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 | 1417018565 | NPPES |
| North Carolina | Other | 051C3 | BCBS |
| North Carolina | Other | 18265 | BCBS |
| North Carolina | MEDICAID | 015C3 | BCBS |
| North Carolina | Other | 10892 | BCBS |
| North Carolina | Other | 61634 | BCBS |
| North Carolina | Other | 87545 | BCBS |
| North Carolina | MEDICAID | 8910892 | BCBS |
| North Carolina | MEDICAID | 8961634 | BCBS |
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