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FIRST CARE MEDICAL CLINIC PA NPI 1689635237


NPI Information

NPI: 1689635237
Provider Name: FIRST CARE MEDICAL CLINIC, PA

Doing Business As: FIRST CARE MEDICAL CLINIC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 34D0930044

Address:
404 S SUTHERLAND AVE
MONROE, NC
ZIP 28112
Phone: (704) 291-9267
Get Directions

FIRST CARE MEDICAL CLINIC, PA is an internal medicine in Monroe, NC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. FIRST CARE MEDICAL CLINIC, PA NPI is 1689635237. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As First Care Medical Clinic.

The provider's business location address is:

404 S SUTHERLAND AVE
MONROE, NC
ZIP 28112-060
Phone: (704) 291-9267
Fax: (704) 283-7939

The provider's authorized official is Benedict O Okwara .
The authorized official title is Medical Director and has the following contact phone number (704) 291-9267.

The CLIA number assigned to this NPI record is 34D0930044 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/31/2006 and was last updated on 5/4/2022.


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
12080A0000XPediatricsAdolescent MedicineNo
2207RA0000XInternal MedicineAdolescent MedicineNo
3208000000XPediatricsNo
4207Q00000XFamily MedicineNo
5207R00000XInternal MedicineYes

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
189015HXMEDICAIDNORTH CAROLINA
2890259HMEDICAIDNORTH CAROLINA
389012HWMEDICAIDNORTH CAROLINA
4890259KMEDICAIDNORTH CAROLINA
589013J4MEDICAIDNORTH 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: 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.