CALABASH PRIMARY CARE LLC NPI 1528139987

NPI Information

NPI: 1528139987
Provider Name: CALABASH PRIMARY CARE LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
10195 BEACH DR SW # 5
CALABASH, NC
ZIP 28467
Phone: (910) 575-6538
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CALABASH PRIMARY CARE LLC is a family medicine in Calabash, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CALABASH PRIMARY CARE LLC NPI is 1528139987. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10195 BEACH DR SW # 5
CALABASH, NC
ZIP 28467-701
Phone: (910) 575-6538
Fax: (910) 575-6541

The provider's authorized official is Cathy Sellers .
The authorized official title is Owner and has the following contact phone number (910) 575-6538.

The enumeration date for this NPI number is 11/10/2006 and was last updated on 6/4/2009.

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	License Number	License State	Primary
1	363A00000X	Physician Assistant	27331	NORTH CAROLINA	No
2	363L00000X	Nurse Practitioner	201575	NORTH CAROLINA	No
3	207Q00000X	Family Medicine	27938	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	C87544	MEDICARE UPIN	NORTH CAROLINA
2	Q15520	MEDICARE UPIN	NORTH CAROLINA
3	C81600	MEDICARE UPIN	NORTH CAROLINA
4	8950904	MEDICAID	NORTH CAROLINA
5	098806	MEDICAID	SOUTH CAROLINA
6	DB2289	OTHER	NORTH CAROLINA	RAILROAD MEDICARE
7	2329882	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
8	10048	OTHER	NORTH CAROLINA	BLUE CROSS & BLUE SHIELD
9	P69056	MEDICARE UPIN	NORTH CAROLINA
10	2592058B	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
11	89131FG	MEDICAID	NORTH CAROLINA
12	203024	OTHER	NORTH CAROLINA	MEDICARE

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

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