MEDSTAT OF GOLDSBORO INC. NPI 1134217680

NPI Information

NPI: 1134217680
Provider Name: MEDSTAT OF GOLDSBORO INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1707 WAYNE MEMORIAL DR
GOLDSBORO, NC
ZIP 27534
Phone: (919) 736-9699
Get Directions

MEDSTAT OF GOLDSBORO INC. is a family medicine in Goldsboro, 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. MEDSTAT OF GOLDSBORO INC. NPI is 1134217680. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1707 WAYNE MEMORIAL DR
GOLDSBORO, NC
ZIP 27534-239
Phone: (919) 736-9699
Fax: (919) 734-0501

The provider's authorized official is Vicky B Le .
The authorized official title is Account Manager and has the following contact phone number (919) 736-9699.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 3/30/2010.

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	207Q00000X	Family Medicine		25354	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	Other Provider Identifier Issuer
1	C81757	MEDICARE UPIN	NORTH CAROLINA
2	=========	OTHER	NORTH CAROLINA	TAX ID
3	2314125	MEDICARE PIN	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: 4/28/2024

NPI Synchronization or Removal

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