Vidant Medical Group Llc

LBN: Vidant Medical Group Llc
Vidant Medical Group Llc is an health care organization with primary practice located at 2100 Stantonsburg Rd , Greenville NC 27834-2818. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Vidant Medical Group Llc can be contacted via phone (252) 847-2181, or through Hughes, David S. via phone (252) 847-4582.

Contact Information

Primary practice address
2100 Stantonsburg Rd Greenville NC 27834-2818
Phone: (252) 847-2181
Fax: (252) 847-2213
Website:
Map and Directions
Authorized official contact:
Name: Hughes, David S.
Phone: (252) 847-4582

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1477648731
LBN Legal business name Vidant Medical Group Llc
DBA Doing business as
Authorized official Hughes, David S.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Oct 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477648731 NPPES
North Carolina MEDICAID 5912190
North Carolina Other 018YM
North Carolina MEDICAID 5906333

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