Moonlight Pediatric Urgent Care Pa

LBN: Moonlight Pediatric Urgent Care Pa
Moonlight Pediatric Urgent Care Pa is an health care organization with primary practice located at 3117 Rogers Rd Ste 120 , Wake Forest NC 27587-3803. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Moonlight Pediatric Urgent Care Pa can be contacted via phone (919) 938-2144, or through Fox, Kimberly D. via phone (919) 938-2144.

Contact Information

Primary practice address
3117 Rogers Rd Ste 120 Wake Forest NC 27587-3803
Phone: (919) 938-2144
Fax: (919) 938-2144
Website:
Map and Directions
Authorized official contact:
Name: Fox, Kimberly D. Doctor of Medicine (MD)
Phone: (919) 938-2144

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 200101445 North Carolina

Profile Details

NPI number 1558872804
LBN Legal business name Moonlight Pediatric Urgent Care Pa
DBA Doing business as
Authorized official Fox, Kimberly D. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2017
Last updated Oct 13th, 2017 - about 7 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 1558872804 NPPES
North Carolina MEDICAID 891313G

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