National Provider Identifier Database

NOVA URGENT CARE PAMLICO PA
Urgent Care


Contact Information

NOVA URGENT CARE PAMLICO PA
13808 HWY 55
ALLIANCE, NC28509
Phone: 252-745-7440
Fax: 252-672-9897
Website:
Specialty Taxonomy Code
* Urgent Care 261QU0200X
Family Medicine 207Q00000X
Multi-Specialty 261QM1300X
Nurse Practitioner 363L00000X
Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for NOVA URGENT CARE PAMLICO PA

NPI Number 1245267293
Legal business name
LBN
NOVA URGENT CARE PAMLICO PA
Authorized official DAVID DONNELLY - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 06/26/2006
Last updated 01/12/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: 001000560
  • NC Medicaid: 5903188
  • NC Other: 2324658 MEDICARE GROUP ID NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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