Village Pediatrics Of Chapel Hill, Pa

LBN: Village Pediatrics Of Chapel Hill, Pa
Village Pediatrics Of Chapel Hill, Pa is an health care organization with primary practice located at 300 Market St Ste 112 , Chapel Hill NC 27516-4493. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Village Pediatrics Of Chapel Hill, Pa can be contacted via phone (919) 969-9611, or through Gush, Kim A via phone (919) 969-9611.

Contact Information

Primary practice address
300 Market St Ste 112 Chapel Hill NC 27516-4493
Phone: (919) 969-9611
Fax: (919) 969-9615
Website:
Map and Directions
Authorized official contact:
Name: Gush, Kim A M.D./P.H.D
Phone: (919) 969-9611

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 200500670 North Carolina

Profile Details

NPI number 1578650735
LBN Legal business name Village Pediatrics Of Chapel Hill, Pa
DBA Doing business as
Authorized official Gush, Kim A M.D./P.H.D
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2006
Last updated Jun 3rd, 2015 - about 9 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 1578650735 NPPES
North Carolina MEDICAID 5903100
North Carolina Other 017VK

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