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Contact Information

SENIOR CARE PA
147 COLUMBINE DRIVE
WINSTON-SALEM, NC27106-3112
 Phone: 336-777-1200
 Fax: 336-777-0406
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SENIOR CARE PA

NPI # 1215150628
LBN Legal business name SENIOR CARE PA
Authorized official HERMAN SCHMID - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/11/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
NC License # 56910
NC Medicaid 890258K
NC Other 3424721 STATE ID NO
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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