SHOEHEEL MEDICAL ARTS INC NPI 1508947599

NPI Information

NPI: 1508947599
Provider Name: SHOEHEEL MEDICAL ARTS INC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
102 PINE STREET
MAXTON, NC
ZIP 28364
Phone: (910) 844-5681
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SHOEHEEL MEDICAL ARTS INC is a rural health clinic center in Maxton, NC. SHOEHEEL MEDICAL ARTS INC NPI is 1508947599. The provider is registered as an organization entity type.

The provider's business location address is:

102 PINE STREET
MAXTON, NC
ZIP 28364-262
Phone: (910) 844-5681
Fax: (910) 844-5650

The provider's authorized official is James Michael Sullivan .
The authorized official title is Administrator and has the following contact phone number (910) 844-5681.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 10/21/2008.

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	261QR1300X	Clinic/Center	Rural Health		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
1	343878	MEDICARE ID-TYPE UNSPECIFIED
2	343878C	MEDICAID	NORTH CAROLINA
3	343878A	MEDICAID	NORTH 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: 5/5/2024

NPI Synchronization or Removal

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