Tall Oaks Family Practice

LBN: Tall Oaks Family Practice
Tall Oaks Family Practice is an health care organization with primary practice located at 798 Oak Ridge Farm Rd. Suite A, Mooresville NC 28115. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Tall Oaks Family Practice can be contacted via phone (704) 658-0011, or through Vanhoy, Kevin B via phone (704) 658-0011.

Contact Information

Primary practice address
798 Oak Ridge Farm Rd. Suite A Mooresville NC 28115
Fax: (704) 658-0012
Website:
Authorized official contact:
Name: Vanhoy, Kevin B P.A.C.

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 101555 North Carolina

Profile Details

NPI number 1235198482
LBN Legal business name Tall Oaks Family Practice
DBA Doing business as
Authorized official Vanhoy, Kevin B P.A.C.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2006
Last updated May 4th, 2010 - about 14 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 1235198482 NPPES
North Carolina MEDICAID 891108X
North Carolina Other 012NE
North Carolina MEDICAID 89012NE

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