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LAKE NORMAN COMMUNITY HEALTH CLINIC NPI 1376033845


NPI Information

NPI: 1376033845
Provider Name: LAKE NORMAN COMMUNITY HEALTH CLINIC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 34D2203896

Address:
14230 HUNTERS RD
HUNTERSVILLE, NC
ZIP 28078
Phone: (704) 316-6611
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LAKE NORMAN COMMUNITY HEALTH CLINIC is a clinic center in Huntersville, NC. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). LAKE NORMAN COMMUNITY HEALTH CLINIC NPI is 1376033845. The provider is registered as an organization entity type.

The provider's business location address is:

14230 HUNTERS RD
HUNTERSVILLE, NC
ZIP 28078-335
Phone: (704) 316-6611
Fax: (704) 316-6612

The provider's authorized official is April Cook .
The authorized official title is Executive Director and has the following contact phone number (704) 316-6611.

The CLIA number assigned to this NPI record is 34D2203896 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2018 and was last updated on 5/10/2018.


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
1261Q00000XClinic/CenterYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.