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CAROLINA MEDICORP ENTERPRISES INC NPI 1659339596


NPI Information

NPI: 1659339596
Provider Name: CAROLINA MEDICORP ENTERPRISES, INC

Doing Business As: NOVANT HEALTH URGENT CARE & OCCUPATIONAL MEDICINE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 34D2236487

Address:
501 HICKORY BRANCH DR
GREENSBORO, NC
ZIP 27409
Phone: (336) 878-2260
Get Directions

CAROLINA MEDICORP ENTERPRISES, INC is an urgent care clinic center in Greensboro, NC. CAROLINA MEDICORP ENTERPRISES, INC NPI is 1659339596. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Urgent Care & Occupational Medicine.

The provider's business location address is:

501 HICKORY BRANCH DR
GREENSBORO, NC
ZIP 27409-601
Phone: (336) 878-2260
Fax: (336) 878-2277

The provider's authorized official is Geoffrey Gardner .
The authorized official title is Vp Finance and has the following contact phone number (336) 878-2260.

The CLIA number assigned to this NPI record is 34D2236487 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/2/2006 and was last updated on 6/5/2019.


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
1207P00000XEmergency MedicineNo
2207Q00000XFamily MedicineNo
3363A00000XPhysician AssistantNo
4363L00000XNurse PractitionerNo
5261QU0200XClinic/CenterUrgent CareYes

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
189012MMEDICAIDNORTH CAROLINA
2CI3211OTHERNORTH CAROLINARAILROAD MEDICARE
30126QOTHERNORTH CAROLINABCBS NC

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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