Mountain Island Family Medicine, Pc

LBN: Mountain Island Family Medicine, Pc
Mountain Island Family Medicine, Pc is an health care organization with primary practice located at 10226 Couloak Dr Suite 110, Charlotte NC 28216-7675. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Mountain Island Family Medicine, Pc can be contacted via phone (704) 399-1415, or through Bailey, Clayton R via phone (704) 399-1415.

Contact Information

Primary practice address
10226 Couloak Dr Suite 110 Charlotte NC 28216-7675
Phone: (704) 399-1415
Fax: (704) 399-1415
Website:
Map and Directions
Authorized official contact:
Name: Bailey, Clayton R Doctor of Medicine (MD)
Phone: (704) 399-1415

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 125435 North Carolina

Profile Details

NPI number 1669664264
LBN Legal business name Mountain Island Family Medicine, Pc
DBA Doing business as
Authorized official Bailey, Clayton R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2007
Last updated Feb 2nd, 2011 - about 14 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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