Healthserve North East
LBN: Triad Adult And Pediatric Medicine, Inc.
Healthserve North East is an health care organization with primary practice located at 1439 E Cone Blvd , Greensboro NC 27405-4533. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Triad Adult And Pediatric Medicine, Inc. can be contacted via phone (336) 375-6104, or through Ellerby, Brian K via phone (336) 272-1050.
Contact Information
Primary practice address
1439 E Cone Blvd
Greensboro NC 27405-4533
Phone: (336) 375-6104
Fax: (336) 375-9308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1326348087 |
|---|---|
| LBN Legal business name | Triad Adult And Pediatric Medicine, Inc. |
| DBA Doing business as | Healthserve North East |
| Authorized official | Ellerby, Brian K MSPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 28th, 2010 |
| Last updated | Aug 29th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326348087 | NPPES |
| North Carolina | Other | 2348638A | MEDICARE PART B |
| North Carolina | Other | 34D0947992 | MEDICARE PART B |
| North Carolina | MEDICAID | 5916334 | MEDICARE PART B |
| North Carolina | Other | 024TE | MEDICARE PART B |
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