New River Family Medicine
LBN: New River Family Medicine
New River Family Medicine is an health care organization with primary practice located at 12 Willis St Suite C, Sparta NC 28675-9220. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
New River Family Medicine can be contacted via phone (336) 372-4644, or through Ray, Jeffrey Allen via phone (336) 372-4644.
Contact Information
Primary practice address
12 Willis St Suite C
Sparta NC 28675-9220
Phone: (336) 372-4644
Fax: (336) 372-7453
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9501387 | North Carolina |
Profile Details
| NPI number | 1225258080 |
|---|---|
| LBN Legal business name | New River Family Medicine |
| DBA Doing business as | |
| Authorized official | Ray, Jeffrey Allen Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 26th, 2007 |
| Last updated | May 6th, 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 | 1225258080 | NPPES |
| North Carolina | Other | 40023 | MEDCOST |
| North Carolina | Other | 0297Q | MEDCOST |
| North Carolina | MEDICAID | 890297Q | MEDCOST |
| North Carolina | Other | 16069 | MEDCOST |
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