<Unavail>

LBN: Iredell Physician Network Llc
<Unavail> is an health care organization with primary practice located at 143 Joe Knox Ave Suite 100, Mooresville NC 28117-9243. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as the primary health care specialty. Iredell Physician Network Llc can be contacted via phone (704) 878-4500, or through Purcell, Anna via phone (704) 878-4569.

Contact Information

Primary practice address
143 Joe Knox Ave Suite 100 Mooresville NC 28117-9243
Phone: (704) 878-4500
Fax: (704) 872-7924
Website:
Map and Directions
Authorized official contact:
Name: Purcell, Anna
Phone: (704) 878-4569

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 9400602 North Carolina

Profile Details

NPI number 1003081175
LBN Legal business name Iredell Physician Network Llc
DBA Doing business as <Unavail>
Authorized official Purcell, Anna
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 29th, 2008
Last updated May 12th, 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 1003081175 NPPES
North Carolina MEDICAID 5950095

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