CAPITAL MEDICAL GROUP NPI 1700908647

NPI Information

NPI: 1700908647
Provider Name: CAPITAL MEDICAL GROUP
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 34D2006485

Address:
3509 CAPITAL BLVD
SUITE 101
RALEIGH, NC
ZIP 27604
Phone: (919) 878-3655
Get Directions

CAPITAL MEDICAL GROUP is a primary care clinic center in Raleigh, NC. CAPITAL MEDICAL GROUP NPI is 1700908647. The provider is registered as an organization entity type.

The provider's business location address is:

3509 CAPITAL BLVD
SUITE 101
RALEIGH, NC
ZIP 27604-325
Phone: (919) 878-3655
Fax: (919) 878-3647

The provider's authorized official is Ruth Watkins .
The authorized official title is Practice Manager and has the following contact phone number (919) 878-3655.

The CLIA number assigned to this NPI record is 34D2006485 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	=========	NORTH CAROLINA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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