Southeastern Heart & Vascular Center Pa

LBN: Southeastern Heart & Vascular Center Pa
Southeastern Heart & Vascular Center Pa is an health care organization with primary practice located at 3200 Northline Ave Suite 250, Greensboro NC 27408-7619. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Southeastern Heart & Vascular Center Pa can be contacted via phone (336) 273-7900, or through Berry, Jonathan J via phone (336) 273-7900.

Contact Information

Primary practice address
3200 Northline Ave Suite 250 Greensboro NC 27408-7619
Fax: (336) 273-8147
Website:
Authorized official contact:
Name: Berry, Jonathan J Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1689772220
LBN Legal business name Southeastern Heart & Vascular Center Pa
DBA Doing business as
Authorized official Berry, Jonathan J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Jan 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689772220 NPPES
North Carolina MEDICAID 790129F
North Carolina Other 0129F

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