Prime Doc Of Haywood, Pa
LBN: Prime Doc Of Haywood, Pa
Prime Doc Of Haywood, Pa is an health care organization with primary practice located at 262 Leroy George Drive , Clyde NC 28721-7430. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Prime Doc Of Haywood, Pa can be contacted via phone (828) 452-8862, or through Mccormick, Talbot G. via phone (678) 441-8500.
Contact Information
Primary practice address
262 Leroy George Drive
Clyde NC 28721-7430
Phone: (828) 452-8862
Fax: (843) 237-5073
Website:
Authorized official contact:
Name: Mccormick, Talbot G. Doctor of Medicine (MD)
Phone: (678) 441-8500
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1992761886 |
|---|---|
| LBN Legal business name | Prime Doc Of Haywood, Pa |
| DBA Doing business as | |
| Authorized official | Mccormick, Talbot G. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Jul 10th, 2015 - about 10 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 | 1992761886 | NPPES |
| North Carolina | Other | 013PU | BLUE CROSS BLUE SHIELD |
| North Carolina | Other | DC9720 | BLUE CROSS BLUE SHIELD |
| North Carolina | MEDICAID | 89013PU | BLUE CROSS BLUE SHIELD |
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