Primedoc Park Ridge Pa

LBN: Primedoc Park Ridge Pa
Primedoc Park Ridge Pa is an health care organization with primary practice located at 100 Hospital Dr , Hendersonville NC 28792-5272. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Primedoc Park Ridge Pa can be contacted via phone (843) 237-3378, or through Reynolds, Robert via phone (843) 237-3378.

Contact Information

Primary practice address
100 Hospital Dr Hendersonville NC 28792-5272
Phone: (843) 237-3378
Fax: (843) 237-5073
Website:
Map and Directions
Authorized official contact:
Name: Reynolds, Robert Doctor of Medicine (MD)
Phone: (843) 237-3378

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X N/A

Profile Details

NPI number 1023198728
LBN Legal business name Primedoc Park Ridge Pa
DBA Doing business as
Authorized official Reynolds, Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2006
Last updated Mar 16th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023198728 NPPES
North Carolina MEDICAID 5905717
North Carolina Other 018NX

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