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Contact Information

GERIATRIC HEALTHCARE SERVICES, P.C.
4016 HUNTSCROFT LN
WINSTON-SALEM, NC27106-4777
 Phone: 336-245-2764
 Fax: 336-245-2765
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GERIATRIC HEALTHCARE SERVICES, P.C.

NPI Number 1063457562
LBN Legal business name GERIATRIC HEALTHCARE SERVICES, P.C.
Authorized official CARLOS IRUELA - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/18/2006
Last updated 09/24/2007 - About 19 years ago
Identifiers
NC Medicaid 8901KA
NC Other 012KA BCBSNC
NC Other CH6935 RAIL ROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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