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
Phone: (910) 790-9944
Fax: (910) 790-9455
Website:
Authorized official contact:
Name: Van De Bovenkamp, Maria Certified Medical Assistant (CMA)
Phone: (910) 790-9949
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588620157 | NPPES |
North Carolina | Other | 0108Q | BCBS |
North Carolina | MEDICAID | 890108Q | BCBS |
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