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
Phone: (704) 983-3121
Fax: (704) 983-4659
Website:
Authorized official contact:
Name: Johnsen, Eric Merriman Doctor of Medicine (MD)
Phone: (704) 983-3121
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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