Stanly Family Care Clinic Pa

LBN: Stanly Family Care Clinic Pa
Stanly Family Care Clinic Pa is an health care organization with primary practice located at 1007 N 6Th St , Albemarle NC 28001-3551. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Stanly Family Care Clinic Pa can be contacted via phone (704) 983-3121, or through Johnsen, Eric Merriman via phone (704) 983-3121.

Contact Information

Primary practice address
1007 N 6Th St Albemarle NC 28001-3551
Fax: (704) 983-4659
Website:
Authorized official contact:
Name: Johnsen, Eric Merriman Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24425 North Carolina

Profile Details

NPI number 1942255708
LBN Legal business name Stanly Family Care Clinic Pa
DBA Doing business as
Authorized official Johnsen, Eric Merriman Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated Mar 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942255708 NPPES
North Carolina Other 46027 BCBS IND.
North Carolina MEDICAID 890243C BCBS IND.
North Carolina Other 0243C BCBS IND.
North Carolina Other 080077493 BCBS IND.

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