EAGLE RISING HEALTH SERVICES PLLC NPI 1013304211

NPI Information

NPI: 1013304211
Provider Name: EAGLE RISING HEALTH SERVICES, PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
8815 UNIVERSITY EAST DR STE 215
CHARLOTTE, NC
ZIP 28213
Phone: (980) 318-3602
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EAGLE RISING HEALTH SERVICES, PLLC is a primary care clinic center in Charlotte, NC. EAGLE RISING HEALTH SERVICES, PLLC NPI is 1013304211. The provider is registered as an organization entity type.

The provider's business location address is:

8815 UNIVERSITY EAST DR STE 215
CHARLOTTE, NC
ZIP 28213-100
Phone: (980) 318-3602

The provider's authorized official is Wayne Jerome Harp .
The authorized official title is Owner and has the following contact phone number (704) 334-6370.

The enumeration date for this NPI number is 4/25/2015 and was last updated on 4/25/2015.

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	261QH0100X	Clinic/Center	Health Service	101599	NORTH CAROLINA	No
2	261QP2300X	Clinic/Center	Primary Care	101599	NORTH CAROLINA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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