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AMERICARE HEALTH NPI 1528071453


NPI Information

NPI: 1528071453
Provider Name: AMERICARE HEALTH

Doing Business As: AMERICARE AT THE PARK

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 34D1013022

Address:
6023 BEATTIES FORD RD
CHARLOTTE, NC
ZIP 28216
Phone: (704) 399-2677
Get Directions

AMERICARE HEALTH is a family medicine in Charlotte, 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. AMERICARE HEALTH NPI is 1528071453. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Americare At The Park.

The provider's business location address is:

6023 BEATTIES FORD RD
CHARLOTTE, NC
ZIP 28216-205
Phone: (704) 399-2677
Fax: (704) 393-6522

The provider's authorized official is Iyore Irene Ojomo .
The authorized official title is Business Administrator and has the following contact phone number (704) 399-2677.

The CLIA number assigned to this NPI record is 34D1013022 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNORTH CAROLINAYes
2207R00000XInternal MedicineNORTH CAROLINAX
3208000000XPediatricsNORTH CAROLINAX

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
1014RGOTHERNORTH CAROLINABLUECROSSBLUESHIELD ID
289014RGMEDICAIDNORTH 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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