| Cmc-northeast, Inc. | |
|
200 Medical Park Dr Suite 550 Concord Internal Medicine Concord NC 28025-0926 | |
| (704) 403-1307 | |
| (704) 403-1090 |
| Full Name | Cmc-northeast, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 Medical Park Dr, Concord, North Carolina |
| Authorized Official Name and Position | Frieda M Lowder (VP PHYSICIAN SERVICES) |
| Authorized Official Contact | 7044034146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmc-northeast, Inc. 200 Medical Park Dr Suite 550 Concord Internal Medicine Concord NC 28025-0926 Ph: (704) 403-1307 | Cmc-northeast, Inc. 200 Medical Park Dr Suite 550 Concord Internal Medicine Concord NC 28025-0926 Ph: (704) 403-1307 |
| NPI Number | 1730128810 |
|---|---|
| Provider Enumeration Date | 06/05/2006 |
| Last Update Date | 06/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730128810 | NPI | - | NPPES |
| 355573 | Other | NC | MAMSI GROUP NUMBER |
| CC2854 | Other | NC | RAILROAD MEDICARE GROUP |
| 5906973 | Medicaid | NC | |
| 0279N | Other | NC | BCBS EFF PRIOR TO 7-1-07 |
| 019FP | Other | NC | BCBS EFF 7-1-07 |
| 7232 | Other | NC | PARTNERS MEDICARE CHOICE |
| 890279N | Medicaid | NC | |
| DF8926 | Other | NC | RAILROAD MEDICARE PTAN |
| 566000156022 | Other | NC | TRICARE STANDARD, NON NWK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Secondary |
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Cmc-northeast, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Medical Park Dr, Ste 208, Northeast Infectious Diseases, Concord, NC 28025 Phone: 704-403-1766 Fax: 704-403-1096 | |
Carolinas Physicians Network Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 270 Copperfield Blvd Ne, Ste 102, Concord, NC 28025 Phone: 704-786-6521 | |
The Charlotte-mecklenburg Hospital Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 Memorial Blvd, Concord, NC 28025 Phone: 704-403-7050 | |
Eventus Wholehealth Aco Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Cabarrus Ave E Ste 200, Concord, NC 28025 Phone: 855-743-2247 Fax: 855-857-7333 | |
Total Evaluation Services & Systems Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 Branchview Dr Ne, Suite F, Concord, NC 28025 Phone: 704-467-7783 |