Prime Health Medical Clinic, Pa

LBN: Prime Health Medical Clinic, Pa
Prime Health Medical Clinic, Pa is an health care organization with primary practice located at 1400 Medford Dr , Charlotte NC 28205-5624. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is the primary health care specialty. Prime Health Medical Clinic, Pa can be contacted via phone (704) 940-5588, or through Ogbata, Sylvester I via phone (203) 545-9119.

Contact Information

Primary practice address
1400 Medford Dr Charlotte NC 28205-5624
Phone: (704) 940-5588
Fax: (704) 940-5589
Website:
Map and Directions
Authorized official contact:
Name: Ogbata, Sylvester I Doctor of Medicine (MD)
Phone: (203) 545-9119

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1063781094
LBN Legal business name Prime Health Medical Clinic, Pa
DBA Doing business as
Authorized official Ogbata, Sylvester I Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2011
Last updated Sep 23rd, 2021 - about 3 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.

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