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WESTERN CAROLINA FAMILY PRACTICE PA NPI 1063499838


NPI Information

NPI: 1063499838
Provider Name: WESTERN CAROLINA FAMILY PRACTICE PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 34D2029879

Address:
1257 HENDERSONVILLE RD
ASHEVILLE, NC
ZIP 28803
Phone: (828) 274-6610
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WESTERN CAROLINA FAMILY PRACTICE PA is a family medicine in Asheville, 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. WESTERN CAROLINA FAMILY PRACTICE PA NPI is 1063499838. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1257 HENDERSONVILLE RD
ASHEVILLE, NC
ZIP 28803-916
Phone: (828) 274-6610
Fax: (828) 274-6670

The provider's authorized official is Jack Carlson Spies .
The authorized official title is President Physician and has the following contact phone number (828) 274-6610.

The CLIA number assigned to this NPI record is 34D2029879 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/22/2005 and was last updated on 5/10/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine9601484NORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18976916MEDICAIDNORTH CAROLINA
22336161MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
376916OTHERNORTH CAROLINABCBS
4G38097MEDICARE UPIN

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: 4/28/2024

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