BOILING SPRINGS MEDICAL ASSOCIATES PA NPI 1275592677

NPI Information

NPI: 1275592677
Provider Name: BOILING SPRINGS MEDICAL ASSOCIATES, PA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
305 W. COLLEGE AVE.
BOILING SPRINGS, NC
ZIP 28017
Phone: (704) 434-0365
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BOILING SPRINGS MEDICAL ASSOCIATES, PA is a primary care clinic center in Boiling Springs, NC. BOILING SPRINGS MEDICAL ASSOCIATES, PA NPI is 1275592677. The provider is registered as an organization entity type.

The provider's business location address is:

305 W. COLLEGE AVE.
BOILING SPRINGS, NC
ZIP 28017-815
Phone: (704) 434-0365
Fax: (704) 434-2801

The provider's authorized official is Robert Marshall Dorn .
The authorized official title is President & Owner and has the following contact phone number (704) 434-0365.

The enumeration date for this NPI number is 3/23/2006 and was last updated on 3/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	32231	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D18181	MEDICARE UPIN	NORTH CAROLINA
2	8901123	MEDICAID	NORTH CAROLINA
3	2310826	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA	GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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