NPI 1639491038 MT. OLIVE FAMILY MEDICINE CENTER SAN DIEGO CA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mt. Olive Family Medicine Center - NPI: 1639491038

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: MT. OLIVE FAMILY MEDICINE CENTER
NPI Number: 1639491038
Entity Type Code: Organizational (2)
Authorized Official Name: KENNY HEINE
(SR. DIRECTOR OF OPERATIONS)
Mailing Address: 201 N Breazeale Ave
Mount Olive
State: NC US
Postal Code: 283651603
Phone Number: 9196584954
Fax Number:
NPI Enumeration Date: 02/26/2010
NPI Last Update Date: 10/23/2012
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 332900000X
License Number: 9801525
Healthcare Provider Taxonomy:
(Secondary)
Y
State: NC
Taxonomy Type: Suppliers
Taxonomy Classification: Non-Pharmacy Dispensing Site
Taxonomy Specialization:
Taxonomy Definition:
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)


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