Pediatric Pavilion At Huntersville
LBN: Cmc-Northeast, Inc.
Pediatric Pavilion At Huntersville is an health care organization with primary practice located at 16623 Birkdale Cmns Pkwy Suite 110 Pediatric Pavilion At Huntersville, Huntersville NC 28078-5621. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Cmc-Northeast, Inc. can be contacted via phone (704) 987-4277, or through Lowder, Frieda M via phone (704) 403-4146.
Contact Information
Primary practice address
16623 Birkdale Cmns Pkwy Suite 110 Pediatric Pavilion At Huntersville
Huntersville NC 28078-5621
Phone: (704) 987-4277
Fax: (704) 987-5096
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | ||
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X |
Profile Details
| NPI number | 1023161726 |
|---|---|
| LBN Legal business name | Cmc-Northeast, Inc. |
| DBA Doing business as | Pediatric Pavilion At Huntersville |
| Authorized official | Lowder, Frieda M |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Feb 5th, 2009 - about 17 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 | 1023161726 | NPPES |
| North Carolina | Other | 355573 | MAMSI |
| North Carolina | Other | 566000156020 | MAMSI |
| North Carolina | MEDICAID | 5904836 | MAMSI |
| North Carolina | MEDICAID | 5906850 | MAMSI |
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