Novant Health Child & Adolescent Medical Group
LBN: Novant Health Medical Group, Llc
Novant Health Child & Adolescent Medical Group is an health care organization with primary practice located at 1994 Wellness Blvd Suite 110, Monroe NC 28110-7768. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty.
Novant Health Medical Group, Llc can be contacted via phone (704) 384-8460, or through Walton, Leea Jeanine via phone (704) 316-6081.
Contact Information
Primary practice address
1994 Wellness Blvd Suite 110
Monroe NC 28110-7768
Phone: (704) 384-8460
Fax: (704) 384-8465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1023062452 |
|---|---|
| LBN Legal business name | Novant Health Medical Group, Llc |
| DBA Doing business as | Novant Health Child & Adolescent Medical Group |
| Authorized official | Walton, Leea Jeanine |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Jun 20th, 2024 - about 6 months 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 | 1023062452 | NPPES |
| North Carolina | MEDICAID | 5900603 | |
| North Carolina | Other | 017AF | |
| North Carolina | MEDICAID | NPB110 |
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