Todds Northside Professional Pchy

LBN: Todds Northside Professional Pchy
Todds Northside Professional Pchy is an health care organization with primary practice located at 1141 N Road St Ste A1, Elizabeth City NC 27909-3354. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Todds Northside Professional Pchy can be contacted via phone (252) 331-1333, or through Twiford, Joel via phone (252) 331-1333.

Contact Information

Primary practice address
1141 N Road St Ste A1 Elizabeth City NC 27909-3354
Fax: (252) 331-1911
Website:
Authorized official contact:
Name: Twiford, Joel

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 05351 North Carolina
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1558450247
LBN Legal business name Todds Northside Professional Pchy
DBA Doing business as
Authorized official Twiford, Joel
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1558450247 NPPES
North Carolina MEDICAID 0155036
North Carolina Other 3428174

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