Primecare Medical Center

LBN: Bomray Medical Clinic
Primecare Medical Center is an health care organization with primary practice located at 3627 Beatties Ford Rd , Charlotte NC 28216-3249. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Student Health, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Bomray Medical Clinic can be contacted via phone (704) 335-0806, or through Olszewski, Jerri via phone (704) 335-0806.

Contact Information

Primary practice address
3627 Beatties Ford Rd Charlotte NC 28216-3249
Phone: (704) 335-0806
Fax: (704) 334-2073
Website:
Map and Directions
Authorized official contact:
Name: Olszewski, Jerri
Phone: (704) 335-0806

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Health Service 261QH0100X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Student Health 261QS1000X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1013974864
LBN Legal business name Bomray Medical Clinic
DBA Doing business as Primecare Medical Center
Authorized official Olszewski, Jerri
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 20th, 2010 - about 16 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 1013974864 NPPES
North Carolina MEDICAID 890271W

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