Village Internal Medicine, Pa

LBN: Village Internal Medicine, Pa
Village Internal Medicine, Pa is an health care organization with primary practice located at 1843 Quiet Cv , Fayetteville NC 28304-3857. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Village Internal Medicine, Pa can be contacted via phone (910) 483-8080, or through Logue, Stephen Stuart via phone (910) 483-8080.

Contact Information

Primary practice address
1843 Quiet Cv Fayetteville NC 28304-3857
Phone: (910) 483-8080
Fax: (910) 483-3258
Website:
Map and Directions
Authorized official contact:
Name: Logue, Stephen Stuart Doctor of Medicine (MD)
Phone: (910) 483-8080

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 62468 North Carolina

Profile Details

NPI number 1326074592
LBN Legal business name Village Internal Medicine, Pa
DBA Doing business as
Authorized official Logue, Stephen Stuart Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2006
Last updated Mar 2nd, 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 1326074592 NPPES
North Carolina MEDICAID 890296P

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