Southfork Pediatrics, Pllc
LBN: Southfork Pediatrics, Pllc
Southfork Pediatrics, Pllc is an health care organization with primary practice located at 1733 Connelly Springs Rd , Lenoir NC 28645-7827. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty.
Southfork Pediatrics, Pllc can be contacted via phone (828) 726-8885, or through Brown, Debra K via phone (828) 726-1379.
Contact Information
Primary practice address
1733 Connelly Springs Rd
Lenoir NC 28645-7827
Phone: (828) 726-8885
Fax: (828) 726-8883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | 9701479 | North Carolina |
Profile Details
| NPI number | 1992701445 |
|---|---|
| LBN Legal business name | Southfork Pediatrics, Pllc |
| DBA Doing business as | |
| Authorized official | Brown, Debra K |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Apr 20th, 2008 - about 17 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 | 1992701445 | NPPES |
| North Carolina | MEDICAID | 891141R | |
| North Carolina | Other | B0324 | |
| North Carolina | Other | 1141R | |
| North Carolina | Other | 2359139 | |
| North Carolina | Other | 891141R | |
| North Carolina | Other | 1467112 |
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