Senior Care Pa

LBN: Senior Care Pa
Senior Care Pa is an health care organization with primary practice located at 147 Columbine Drive , Winston Salem NC 27106-3112. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Senior Care Pa can be contacted via phone (336) 777-1200, or through Schmid, Herman Ernest via phone (336) 777-1200.

Contact Information

Primary practice address
147 Columbine Drive Winston Salem NC 27106-3112
Fax: (336) 777-0406
Website:
Authorized official contact:
Name: Schmid, Herman Ernest Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 56910 North Carolina

Profile Details

NPI number 1215150628
LBN Legal business name Senior Care Pa
DBA Doing business as
Authorized official Schmid, Herman Ernest Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1215150628 NPPES
North Carolina Other 3424721 STATE ID NO
North Carolina MEDICAID 890258K STATE ID NO

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