High Point Adult Health

LBN: Triad Adult And Pediatric Medicine Inc
High Point Adult Health is an health care organization with primary practice located at 624 Quaker Ln Ste 100C , High Point NC 27262-3832. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Suppliers / Clinic Pharmacy. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Triad Adult And Pediatric Medicine Inc can be contacted via phone (336) 878-6027, or through Ellerby, Brian via phone (336) 272-1050.

Contact Information

Primary practice address
624 Quaker Ln Ste 100C High Point NC 27262-3832
Phone: (336) 878-6027
Fax: (336) 878-6189
Website:
Map and Directions
Authorized official contact:
Name: Ellerby, Brian MSPH
Phone: (336) 272-1050

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1023318961
LBN Legal business name Triad Adult And Pediatric Medicine Inc
DBA Doing business as High Point Adult Health
Authorized official Ellerby, Brian MSPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2010
Last updated Aug 9th, 2012 - about 13 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 1023318961 NPPES
North Carolina Other 34-1964 MEDICARE A
North Carolina MEDICAID 344044C MEDICARE A
North Carolina MEDICAID 344044A MEDICARE A
North Carolina MEDICAID 344044B MEDICARE A
North Carolina Other 56162 MEDICARE A
North Carolina Other 3460235 MEDICARE A
North Carolina Other 024UE MEDICARE A
North Carolina Other 34D1002754 MEDICARE A

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