WILLOW FAMILY MEDICAL CENTER NPI 1861534778

NPI Information

NPI: 1861534778
Provider Name: WILLOW FAMILY MEDICAL CENTER
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3434 EDWARDS MILL RD STE 112 PMB 348
RALEIGH, NC
ZIP 27612
Phone: (919) 806-8686
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WILLOW FAMILY MEDICAL CENTER is a family medicine in Raleigh, 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. WILLOW FAMILY MEDICAL CENTER NPI is 1861534778. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3434 EDWARDS MILL RD STE 112 PMB 348
RALEIGH, NC
ZIP 27612-276
Phone: (919) 806-8686
Fax: (919) 787-2176

The provider's authorized official is Denise D Tollefson .
The authorized official title is President and has the following contact phone number (919) 806-8686.

The enumeration date for this NPI number is 2/14/2007 and was last updated on 9/10/2010.

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			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	02150	OTHER	NORTH CAROLINA	BCBS GROUP
2	2242750	OTHER	NORTH CAROLINA	UNITED HEALTHCARE
3	39308	OTHER	NORTH CAROLINA	WELLPATH COVENTRY

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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