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WAKEMED SPECIALISTS GROUP LLC NPI 1013572213


NPI Information

NPI: 1013572213
Provider Name: WAKEMED SPECIALISTS GROUP, LLC

Other Name: WAKEMED URGENT CARE

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 34D1002624

Address:
601 OBERLIN RD
RALEIGH, NC
ZIP 27605
Phone: (919) 789-4322
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WAKEMED SPECIALISTS GROUP, LLC is a durable medical equipment medical supplies in Raleigh, NC. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. WAKEMED SPECIALISTS GROUP, LLC NPI is 1013572213. The provider is registered as an organization entity type.
The provider Other Name Is Wakemed Urgent Care.

The provider's business location address is:

601 OBERLIN RD
RALEIGH, NC
ZIP 27605-126
Phone: (919) 789-4322
Fax: (919) 789-4533

The provider's authorized official is Shondra Lynn Brink .
The authorized official title is Vp Of Operations and has the following contact phone number (919) 350-6045.

The CLIA number assigned to this NPI record is 34D1002624 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/3/2019 and was last updated on 1/15/2021.


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
1261QU0200XClinic/CenterUrgent CareNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

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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