Novant Health Matthews Children'S Clinic

LBN: Novant Health Medical Group, Llc
Novant Health Matthews Children'S Clinic is an health care organization with primary practice located at 1401 Matthews Township Pkwy Suite 100, Matthews NC 28105-5403. 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) 384-1080, or through Walton, Leea Jeanine via phone (704) 316-6081.

Contact Information

Primary practice address
1401 Matthews Township Pkwy Suite 100 Matthews NC 28105-5403
Phone: (704) 384-1080
Fax: (704) 384-1122
Website:
Map and Directions
Authorized official contact:
Name: Walton, Leea Jeanine
Phone: (704) 316-6081

Health care specialties

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

Profile Details

NPI number 1770522484
LBN Legal business name Novant Health Medical Group, Llc
DBA Doing business as Novant Health Matthews Children'S Clinic
Authorized official Walton, Leea Jeanine
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2006
Last updated Jun 20th, 2024 - about last year

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 1770522484 NPPES
North Carolina Other 0273T BCBS-NC
North Carolina MEDICAID 890273T BCBS-NC
North Carolina MEDICAID NPA879 BCBS-NC

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