Novant Health Providence Ob/Gyn
LBN: Novant Medical Group, Inc.
Novant Health Providence Ob/Gyn is an health care organization with primary practice located at 1718 E 4Th St Suite 907, Charlotte NC 28204-3282. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty.
Novant Medical Group, Inc. can be contacted via phone (704) 372-4000, or through Gardner, Geoffrey K. via phone (704) 372-4000.
Contact Information
Primary practice address
1718 E 4Th St Suite 907
Charlotte NC 28204-3282
Phone: (704) 372-4000
Fax: (704) 334-4855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X |
Profile Details
| NPI number | 1861520074 |
|---|---|
| LBN Legal business name | Novant Medical Group, Inc. |
| DBA Doing business as | Novant Health Providence Ob/Gyn |
| Authorized official | Gardner, Geoffrey K. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Jul 5th, 2013 - about 12 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 | 1861520074 | NPPES |
| North Carolina | Other | 011VY | BCBS NC |
| North Carolina | MEDICAID | NPB255 | BCBS NC |
| North Carolina | MEDICAID | 5907955 | BCBS NC |
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