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PANGEA HEALTHCARE ALLIANCE NPI 1205113487


NPI Information

NPI: 1205113487
Provider Name: PANGEA HEALTHCARE ALLIANCE
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
5111 BODIE LN
GREENSBORO, NC
ZIP 27455
Phone: (336) 288-4950
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PANGEA HEALTHCARE ALLIANCE is a point of service in Greensboro, NC. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. PANGEA HEALTHCARE ALLIANCE NPI is 1205113487. The provider is registered as an organization entity type.

The provider's business location address is:

5111 BODIE LN
GREENSBORO, NC
ZIP 27455-463
Phone: (336) 288-4950

The provider's authorized official is Brendan Mark Fitzpatrick .
The authorized official title is Managing Director and has the following contact phone number (336) 420-7246.

The enumeration date for this NPI number is 11/15/2011 and was last updated on 11/15/2011.


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
1305S00000XPoint of ServiceYes

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

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