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MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA NPI 1073043436


NPI Information

NPI: 1073043436
Provider Name: MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 34D2034748

Address:
130 CARDINAL DR
ROANOKE RAPIDS, NC
ZIP 27870
Phone: (252) 308-0686
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MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA is a family medicine in Roanoke Rapids, 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. MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA NPI is 1073043436. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

130 CARDINAL DR
ROANOKE RAPIDS, NC
ZIP 27870-946
Phone: (252) 308-0686
Fax: (252) 308-0872

The provider's authorized official is Paul Feneck .
The authorized official title is Manager and has the following contact phone number (919) 341-4016.

The CLIA number assigned to this NPI record is 34D2034748 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2017 and was last updated on 1/21/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

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

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