Mission Health Community Multispecialty Providers, Llc

LBN: Mission Health Community Multispecialty Providers, Llc
Mission Health Community Multispecialty Providers, Llc is an health care organization with primary practice located at 310 Long Shoals Rd Ste 110 , Arden NC 28704-8794. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Mission Health Community Multispecialty Providers, Llc can be contacted via phone (828) 213-1740, or through Johnson, Tedrick via phone (615) 372-3375.

Contact Information

Primary practice address
310 Long Shoals Rd Ste 110 Arden NC 28704-8794
Phone: (828) 213-1740
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Tedrick
Phone: (615) 372-3375

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1366912586
LBN Legal business name Mission Health Community Multispecialty Providers, Llc
DBA Doing business as
Authorized official Johnson, Tedrick
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 30th, 2018
Last updated May 15th, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1366912586 NPPES
North Carolina Other 02CG9 BC/BS NC

Popular Providers