Guilford Child Health-Wendover
LBN: Triad Adult And Pediatric Medicine, Inc.
Guilford Child Health-Wendover is an health care organization with primary practice located at 1046 E Wendover Ave , Greensboro NC 27405-6712. 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) 272-1050, or through Ellerby, Brian K via phone (336) 272-1050.
Contact Information
Primary practice address
1046 E Wendover Ave
Greensboro NC 27405-6712
Phone: (336) 272-1050
Fax: (336) 272-0155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1598762940 |
|---|---|
| LBN Legal business name | Triad Adult And Pediatric Medicine, Inc. |
| DBA Doing business as | Guilford Child Health-Wendover |
| Authorized official | Ellerby, Brian K MSPH CMPE |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 30th, 2005 |
| 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 | 1598762940 | NPPES |
| North Carolina | Other | 2348638A | MEDICARE |
| North Carolina | MEDICAID | 890244U | MEDICARE |
| North Carolina | Other | 0244U | MEDICARE |
| North Carolina | Other | 34D0926152 | MEDICARE |
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