Willow Tree Medical Concepts

LBN: Willow Tree Medical Concepts
Willow Tree Medical Concepts is an health care organization with primary practice located at 128 Meadowview Dr , Boone NC 28607-5211. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Willow Tree Medical Concepts can be contacted via phone (828) 264-2727, or through Cranston, Jay via phone (828) 264-2727.

Contact Information

Primary practice address
128 Meadowview Dr Boone NC 28607-5211
Fax: (828) 264-2722
Website:
Authorized official contact:
Name: Cranston, Jay Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 98-01223 North Carolina

Profile Details

NPI number 1215209614
LBN Legal business name Willow Tree Medical Concepts
DBA Doing business as
Authorized official Cranston, Jay Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2012
Last updated Feb 24th, 2012 - about 12 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 1215209614 NPPES
North Carolina MEDICAID 5916167

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