MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA NPI 1295012565

NPI Information

NPI: 1295012565
Provider Name: MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 34D2017992

Address:
325 WESTERN BLVD
JACKSONVILLE, NC
ZIP 28546
Phone: (910) 577-1555
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MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA is an urgent care clinic center in Jacksonville, NC. MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA NPI is 1295012565. The provider is registered as an organization entity type.

The provider's business location address is:

325 WESTERN BLVD
JACKSONVILLE, NC
ZIP 28546-341
Phone: (910) 577-1555

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

The CLIA number assigned to this NPI record is 34D2017992 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2011 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
1	261QP2300X	Clinic/Center	Primary Care			No
2	261QU0200X	Clinic/Center	Urgent Care			Yes

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

NPI Synchronization or Removal

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