PREMISE HEALTH OF NORTH CAROLINA MEDICAL P.C NPI 1447997978

NPI Information

  • NPI: 1447997978
  • Provider Name: PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: TBMNC MEDICAL TRAILER- OCCUPATIONAL HEALTH AND FIRST AID
  • CLIA Number: 34D2292667
  • Address: 5938 JULIAN AIRPORT RD
    LIBERTY, NC
    ZIP 27298
  • Phone: (336) 203-4785

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NPI Details

PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C is a multi-specialty clinic center in Liberty, NC. PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C NPI is 1447997978. The provider is registered as an organization entity type.
The provider Is Doing Business As Tbmnc Medical Trailer- Occupational Health And First Aid.

The provider's business location address is:

5938 JULIAN AIRPORT RD
LIBERTY, NC
ZIP 27298-038
Phone: (336) 203-4785
Fax: (336) 203-4785

The provider's authorized official is Jonathan B Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The CLIA number assigned to this NPI record is 34D2292667 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2022 and was last updated on 10/13/2022.

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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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: 3/30/2025

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