<Unavail>
LBN: Triad Adult And Pediatric Medicine Inc
<Unavail> is an health care organization with primary practice located at 624 Quaker Ln Ste 100C , High Point NC 27262-3832. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Suppliers / Clinic Pharmacy. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Triad Adult And Pediatric Medicine Inc can be contacted via phone (336) 878-6027, or through Ellerby, Brian via phone (336) 272-1050.
Contact Information
Primary practice address
624 Quaker Ln Ste 100C
High Point NC 27262-3832
Phone: (336) 878-6027
Fax: (336) 878-6189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X |
Profile Details
| NPI number | 1023318961 |
|---|---|
| LBN Legal business name | Triad Adult And Pediatric Medicine Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Ellerby, Brian MSPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 26th, 2010 |
| Last updated | Aug 9th, 2012 - about 14 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 | 1023318961 | NPPES |
| North Carolina | Other | 34-1964 | MEDICARE A |
| North Carolina | MEDICAID | 344044C | MEDICARE A |
| North Carolina | MEDICAID | 344044A | MEDICARE A |
| North Carolina | MEDICAID | 344044B | MEDICARE A |
| North Carolina | Other | 56162 | MEDICARE A |
| North Carolina | Other | 3460235 | MEDICARE A |
| North Carolina | Other | 024UE | MEDICARE A |
| North Carolina | Other | 34D1002754 | MEDICARE A |
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