Willow Family Medical Center
LBN: Willow Family Medical Center
Willow Family Medical Center is an health care organization with primary practice located at 3434 Edwards Mill Rd Ste 112 Pmb 348 , Raleigh NC 27612-4276. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Willow Family Medical Center can be contacted via phone (919) 806-8686, or through Tollefson, Denise D via phone (919) 806-8686.
Contact Information
Primary practice address
3434 Edwards Mill Rd Ste 112 Pmb 348
Raleigh NC 27612-4276
Phone: (919) 806-8686
Fax: (919) 787-2176
Website:
Authorized official contact:
Name: Tollefson, Denise D Doctor of Medicine (MD)
Phone: (919) 806-8686
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | North Carolina |
Profile Details
| NPI number | 1861534778 |
|---|---|
| LBN Legal business name | Willow Family Medical Center |
| DBA Doing business as | |
| Authorized official | Tollefson, Denise D Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Sep 10th, 2010 - about 15 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 | 1861534778 | NPPES |
| North Carolina | Other | 02150 | BCBS GROUP |
| North Carolina | Other | 2242750 | BCBS GROUP |
| North Carolina | Other | 39308 | BCBS GROUP |
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