Northside Medical Center

LBN: Wilmington Medical Group Pa
Northside Medical Center is an health care organization with primary practice located at 1925A Oleander Dr , Wilmington NC 28403-2334. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Wilmington Medical Group Pa can be contacted via phone (910) 251-7715, or through Pridgen, James Henry via phone (910) 251-7715.

Contact Information

Primary practice address
1925A Oleander Dr Wilmington NC 28403-2334
Phone: (910) 251-7715
Fax: (910) 251-7777
Website:
Map and Directions
Authorized official contact:
Name: Pridgen, James Henry Doctor of Medicine (MD)
Phone: (910) 251-7715

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1457497968
LBN Legal business name Wilmington Medical Group Pa
DBA Doing business as Northside Medical Center
Authorized official Pridgen, James Henry Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Nov 20th, 2007 - about 19 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 1457497968 NPPES
North Carolina MEDICAID 89012R9
North Carolina Other 230038
North Carolina Other 012R9

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