South Whiteville Urgent Care & Family Practice Pa
LBN: South Whiteville Urgent Care & Family Practice Pa
South Whiteville Urgent Care & Family Practice Pa is an health care organization with primary practice located at 308 Us Highway 17 N , Holly Ridge NC 28445-7828. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
South Whiteville Urgent Care & Family Practice Pa can be contacted via phone (910) 264-2334, or through Pridgen, James Henry via phone (910) 642-9876.
Contact Information
Primary practice address
308 Us Highway 17 N
Holly Ridge NC 28445-7828
Phone: (910) 264-2334
Fax: (866) 251-5115
Website:
Authorized official contact:
Name: Pridgen, James Henry Doctor of Medicine (MD)
Phone: (910) 642-9876
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 29495 | North Carolina |
Profile Details
| NPI number | 1740463140 |
|---|---|
| LBN Legal business name | South Whiteville Urgent Care & Family Practice Pa |
| DBA Doing business as | |
| Authorized official | Pridgen, James Henry Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 10th, 2007 |
| Last updated | May 17th, 2012 - about 12 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 | 1740463140 | NPPES |
| North Carolina | MEDICAID | 89015U2 |
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