Old Town Immediate Care, P.A.
LBN: Quick Doc Nc, Pa
Old Town Immediate Care, P.A. is an health care organization with primary practice located at 3734 Reynolda Rd , Winston Salem NC 27106-2240. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Quick Doc Nc, Pa can be contacted via phone (336) 922-1102, or through Tripp, Henry Franklin via phone (336) 993-3146.
Contact Information
Primary practice address
3734 Reynolda Rd
Winston Salem NC 27106-2240
Phone: (336) 922-1102
Fax: (336) 922-5012
Website:
Authorized official contact:
Name: Tripp, Henry Franklin Doctor of Medicine (MD)
Phone: (336) 993-3146
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 40655 | North Carolina |
Profile Details
| NPI number | 1659490597 |
|---|---|
| LBN Legal business name | Quick Doc Nc, Pa |
| DBA Doing business as | Old Town Immediate Care, P.A. |
| Authorized official | Tripp, Henry Franklin Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Oct 8th, 2020 - about 5 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 | 1659490597 | NPPES |
| North Carolina | Other | 40655 | MEDICAL BOARD |
| North Carolina | MEDICAID | 5922000 | MEDICAL BOARD |
| North Carolina | Other | 01791 | MEDICAL BOARD |
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