Family Wellness Clinic

LBN: Raleigh Durham Medical Group Pa
Family Wellness Clinic is an health care organization with primary practice located at 2076 Highway 42 West Suite 230, Clayton NC 27520. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Raleigh Durham Medical Group Pa can be contacted via phone (919) 553-5711, or through Heine, Kenny via phone (858) 964-1506.

Contact Information

Primary practice address
2076 Highway 42 West Suite 230 Clayton NC 27520
Fax:
Website:
Authorized official contact:
Name: Heine, Kenny

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X 200400430 North Carolina

Profile Details

NPI number 1164865416
LBN Legal business name Raleigh Durham Medical Group Pa
DBA Doing business as Family Wellness Clinic
Authorized official Heine, Kenny
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 16th, 2013
Last updated Apr 16th, 2013 - about 11 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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