Croasdaile Village Clinic

LBN: The United Methodist Retirement Homes, Incorporated
Croasdaile Village Clinic is an health care organization with primary practice located at 2600 Croasdaile Farm Pkwy , Durham NC 27705. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. The United Methodist Retirement Homes, Incorporated can be contacted via phone (919) 384-2571, or through Erickson, Jonathan via phone (919) 384-3001.

Contact Information

Primary practice address
2600 Croasdaile Farm Pkwy Durham NC 27705
Phone: (919) 384-2571
Fax: (919) 384-2649
Website:
Map and Directions
Authorized official contact:
Name: Erickson, Jonathan
Phone: (919) 384-3001

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1164648861
LBN Legal business name The United Methodist Retirement Homes, Incorporated
DBA Doing business as Croasdaile Village Clinic
Authorized official Erickson, Jonathan
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2007
Last updated Sep 17th, 2018 - about 7 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 1164648861 NPPES
North Carolina Other 34D0973408 CLIA NUMBER

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