CHARLOTTE'S PREMIERE HEALTHCARE NPI 1548337702

NPI Information

NPI: 1548337702
Provider Name: CHARLOTTE'S PREMIERE HEALTHCARE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3230 PROSPERITY CHURCH RD
SUITE 101
CHARLOTTE, NC
ZIP 28269
Phone: (704) 510-4366
Get Directions

CHARLOTTE'S PREMIERE HEALTHCARE 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. CHARLOTTE'S PREMIERE HEALTHCARE NPI is 1548337702. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3230 PROSPERITY CHURCH RD
SUITE 101
CHARLOTTE, NC
ZIP 28269-251
Phone: (704) 510-4366
Fax: (704) 510-4347

The provider's authorized official is Carol Anne Rupe .
The authorized official title is Doctor and has the following contact phone number (704) 510-4366.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 10/22/2007.

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	207Q00000X	Family Medicine		36420	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	013UN	OTHER	NORTH CAROLINA	BLUE CROSS BLE SHIELD ID
2	2320377	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
3	F64559	MEDICARE UPIN	NORTH CAROLINA
4	89013UN	MEDICAID	NORTH 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

NPI Synchronization or Removal

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