North State Medical Center Pa
LBN: North State Medical Center Pa
North State Medical Center Pa is an health care organization with primary practice located at 609 Professional Dr , Roxboro NC 27573. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is the primary health care specialty.
North State Medical Center Pa can be contacted via phone (336) 599-9257, or through Godwin, Patrick L via phone (336) 599-9257.
Contact Information
Primary practice address
609 Professional Dr
Roxboro NC 27573
Phone: (336) 599-9257
Fax: (336) 599-2716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1538127121 |
|---|---|
| LBN Legal business name | North State Medical Center Pa |
| DBA Doing business as | |
| Authorized official | Godwin, Patrick L Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Feb 6th, 2013 - about 11 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 | 1538127121 | NPPES |
| North Carolina | Other | 02948 | BCBS/NC |
| North Carolina | MEDICAID | 5911497 | BCBS/NC |
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