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FHPG LLC NPI 1336154129


NPI Information

NPI: 1336154129
Provider Name: FHPG, LLC

Doing Business As: FIRSTHEALTH FAMILY MEDICINE-ELLERBE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 34D0891704

Address:
112 E BALLARD ST
ELLERBE, NC
ZIP 28338
Phone: (910) 652-2663
Get Directions

FHPG, LLC is a family medicine in Ellerbe, 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. FHPG, LLC NPI is 1336154129. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Firsthealth Family Medicine-ellerbe.

The provider's business location address is:

112 E BALLARD ST
ELLERBE, NC
ZIP 28338-730
Phone: (910) 652-2663
Fax: (910) 652-3150

The provider's authorized official is Mickey Foster .
The authorized official title is Ceo and has the following contact phone number (910) 715-4773.

The CLIA number assigned to this NPI record is 34D0891704 - other - hospital owned clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 6/29/2023.


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 Medicine9901427NORTH 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
102AY1OTHERNORTH CAROLINABCBS
2CA6647OTHERNORTH CAROLINARR MEDICARE GROUP #
30225EOTHERNORTH CAROLINABCBS #
41336154129MEDICAIDNORTH CAROLINA
58902804MEDICAIDNORTH 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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