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Contact Information

FHPG, LLC
129 NCHIGHWAY 109 S
MOUNT GILEAD, NC27306-8941
 Phone: 910-572-1979
 Fax: 910-572-1961
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

363LS0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for FHPG, LLC

NPI Number 1376639674
LBN Legal business name FHPG, LLC
Authorized official MICKEY FOSTER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/05/2006
Last updated 08/03/2020 - About 6 years ago
Identifiers
NC Medicaid 8701704
NC Other 011MJ BCBS
NC Other TIN # -- SUFFIX 036 CHAMPUS TRICARE
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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