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GREENVILLE EXPRESS CARE PA NPI 1477717312


NPI Information

NPI: 1477717312
Provider Name: GREENVILLE EXPRESS CARE, PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 34D1086193

Address:
615 S MEMORIAL DR
GREENVILLE, NC
ZIP 27834
Phone: (252) 413-0720
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GREENVILLE EXPRESS CARE, PA is a family medicine in Greenville, 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. GREENVILLE EXPRESS CARE, PA NPI is 1477717312. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

615 S MEMORIAL DR
GREENVILLE, NC
ZIP 27834-856
Phone: (252) 413-0720

The provider's authorized official is Donald Alan Ribeiro .
The authorized official title is Physician/owner and has the following contact phone number (252) 413-0720.

The CLIA number assigned to this NPI record is 34D1086193 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2008 and was last updated on 10/29/2020.


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 MedicineYes

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
10170AOTHERNORTH CAROLINABCBS OF NC
28971512MEDICAIDNORTH CAROLINA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.