TRIAD ADULT AND PEDIATRIC MEDICINE INC. NPI 1831197938

NPI Information

NPI: 1831197938
Provider Name: TRIAD ADULT AND PEDIATRIC MEDICINE, INC.

Doing Business As: GUILFORD CHILD HEALTH-SPRING VALLEY

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
433 W MEADOWVIEW ROAD
GREENSBORO, NC
ZIP 27406
Phone: (336) 370-9091
Get Directions

TRIAD ADULT AND PEDIATRIC MEDICINE, INC. is a federally qualified health center (fqhc) clinic center in Greensboro, NC. TRIAD ADULT AND PEDIATRIC MEDICINE, INC. NPI is 1831197938. The provider is registered as an organization entity type.
The provider Is Doing Business As Guilford Child Health-spring Valley.

The provider's business location address is:

433 W MEADOWVIEW ROAD
GREENSBORO, NC
ZIP 27406-316
Phone: (336) 370-9091
Fax: (336) 370-4922

The provider's authorized official is Brian K Ellerby .
The authorized official title is Chief Executive Officer and has the following contact phone number (336) 272-1050.

The enumeration date for this NPI number is 7/12/2005 and was last updated on 8/29/2011.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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	890272J	MEDICAID	NORTH CAROLINA
2	0272J	OTHER	NORTH CAROLINA	BCBS OF NC
3	2348638A	OTHER	NORTH CAROLINA	MEDICARE PART B
4	34D0017613	OTHER		CLIA

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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