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MEDEX URGENT CARE PA NPI 1770532897


NPI Information

NPI: 1770532897
Provider Name: MEDEX URGENT CARE, PA

Doing Business As: MEDEX URGENT CARE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
504 OWEN DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 221-3030
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MEDEX URGENT CARE, PA is a primary care clinic center in Fayetteville, NC. MEDEX URGENT CARE, PA NPI is 1770532897. The provider is registered as an organization entity type.
The provider Is Doing Business As Medex Urgent Care.

The provider's business location address is:

504 OWEN DR
FAYETTEVILLE, NC
ZIP 28304-417
Phone: (910) 221-3030

The provider's authorized official is Deborah Thomas .
The authorized official title is Administrator and has the following contact phone number (910) 221-3030.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 8/7/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary Care00544NORTH 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
18960876MEDICAIDNORTH CAROLINA
22191357YMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
3F65097MEDICARE UPINNORTH 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

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