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EAGLE MEDICAL CENTER NPI 1245563352


NPI Information

NPI: 1245563352
Provider Name: EAGLE MEDICAL CENTER
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 34D1105153

Address:
1951 OLD STEELE CREEK ROAD
CHARLOTTE, NC
ZIP 28208
Phone: (704) 926-5434
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EAGLE MEDICAL CENTER is an internal medicine in Charlotte, NC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. EAGLE MEDICAL CENTER NPI is 1245563352. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1951 OLD STEELE CREEK ROAD
CHARLOTTE, NC
ZIP 28208-631
Phone: (704) 926-5434
Fax: (704) 454-7388

The provider's authorized official is Gbenga Aluko .
The authorized official title is Medical Director and has the following contact phone number (704) 975-6004.

The CLIA number assigned to this NPI record is 34D1105153 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/9/2009 and was last updated on 12/12/2009.


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
1207R00000XInternal Medicine2005-01333NORTH 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
15902507MEDICAIDNORTH CAROLINA
2I150899MEDICARE UPINNORTH CAROLINA
3278746MEDICAIDSOUTH CAROLINA
414096OTHERNORTH CAROLINABLUECROSS BLUSHIELD

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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