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THE PRESBYTERIAN HOSPITAL NPI 1053365817


NPI Information

NPI: 1053365817
Provider Name: THE PRESBYTERIAN HOSPITAL

Doing Business As: NOVANT HEALTH SENIOR CARE

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
6324 FAIRVIEW RD
SUITE 310
CHARLOTTE, NC
ZIP 28210
Phone: (704) 316-6565
Get Directions

THE PRESBYTERIAN HOSPITAL is a geriatric medicine internal medicine in Charlotte, NC. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. THE PRESBYTERIAN HOSPITAL NPI is 1053365817. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Senior Care.

The provider's business location address is:

6324 FAIRVIEW RD
SUITE 310
CHARLOTTE, NC
ZIP 28210-172
Phone: (704) 316-6565
Fax: (704) 316-6560

The provider's authorized official is Amy Vance .
The authorized official title is Svp & Coo Of Phc and has the following contact phone number (704) 384-7606.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 7/5/2013.


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 MedicineNORTH CAROLINANo
2207R00000XInternal MedicineNORTH CAROLINANo
3207RG0300XInternal MedicineGeriatric MedicineNORTH 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
102246OTHERNORTH CAROLINABCBS NC
289012M7MEDICAIDNORTH CAROLINA
3CG8809OTHERNORTH CAROLINARAILROAD MEDICARE
4235095MMEDICARE PINNORTH CAROLINA
5NPA925MEDICAIDSOUTH 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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