Shalom Pediatric Clinic

LBN: Shalom Pediatric Clinic
Shalom Pediatric Clinic is an health care organization with primary practice located at 2806 Randleman Rd Suite M, Greensboro NC 27406-5265. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Shalom Pediatric Clinic can be contacted via phone (336) 574-8355, or through Nnaemekaokoyeh, Rita Obiageli via phone (336) 574-8355.

Contact Information

Primary practice address
2806 Randleman Rd Suite M Greensboro NC 27406-5265
Phone: (336) 574-8355
Fax: (336) 273-9192
Website:
Map and Directions
Authorized official contact:
Name: Nnaemekaokoyeh, Rita Obiageli Doctor of Medicine (MD)
Phone: (336) 574-8355

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 2005-01548 North Carolina

Profile Details

NPI number 1316227739
LBN Legal business name Shalom Pediatric Clinic
DBA Doing business as
Authorized official Nnaemekaokoyeh, Rita Obiageli Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2011
Last updated Aug 17th, 2011 - about 13 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 1316227739 NPPES
North Carolina MEDICAID 4188

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