Wilmington Health Access For Teens, Inc

LBN: Wilmington Health Access For Teens, Inc
Wilmington Health Access For Teens, Inc is an health care organization with primary practice located at 4005 Oleander Dr , Wilmington NC 28403-6816. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Wilmington Health Access For Teens, Inc can be contacted via phone (910) 790-9944, or through Van De Bovenkamp, Maria via phone (910) 790-9949.

Contact Information

Primary practice address
4005 Oleander Dr Wilmington NC 28403-6816
Fax: (910) 790-9455
Website:
Authorized official contact:
Name: Van De Bovenkamp, Maria Certified Medical Assistant (CMA)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1588620157
LBN Legal business name Wilmington Health Access For Teens, Inc
DBA Doing business as
Authorized official Van De Bovenkamp, Maria Certified Medical Assistant (CMA)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2006
Last updated Oct 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588620157 NPPES
North Carolina Other 0108Q BCBS
North Carolina MEDICAID 890108Q BCBS

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