<Unavail>

LBN: Carolina Medicorp Enterprises, Inc
<Unavail> is an health care organization with primary practice located at 501 Hickory Branch Dr , Greensboro NC 27409-9601. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Urgent Care, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty. Carolina Medicorp Enterprises, Inc can be contacted via phone (336) 878-2260, or through Gardner, Geoffrey via phone (336) 878-2260.

Contact Information

Primary practice address
501 Hickory Branch Dr Greensboro NC 27409-9601
Phone: (336) 878-2260
Fax: (336) 878-2277
Website:
Map and Directions
Authorized official contact:
Name: Gardner, Geoffrey
Phone: (336) 878-2260

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1659339596
LBN Legal business name Carolina Medicorp Enterprises, Inc
DBA Doing business as <Unavail>
Authorized official Gardner, Geoffrey
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2006
Last updated Jun 5th, 2019 - about 7 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 1659339596 NPPES
North Carolina Other 0126Q BCBS NC
North Carolina MEDICAID 89012M BCBS NC
North Carolina Other CI3211 BCBS NC

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