| Carolinas Medical Center-northeast | |
|
12925 Highway 601 Suite 300 Midland NC 28107-9535 | |
| (704) 888-3702 | |
| (704) 888-4192 |
| Full Name | Carolinas Medical Center-northeast |
|---|---|
| Speciality | Family Medicine |
| Location | 12925 Highway 601, Midland, North Carolina |
| Authorized Official Name and Position | Frieda M Lowder (VP PHYSICIAN SERVICE) |
| Authorized Official Contact | 7044034146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolinas Medical Center-northeast 12925 Highway 601 Suite 300 Midland NC 28107-9535 Ph: (704) 888-3702 | Carolinas Medical Center-northeast 12925 Highway 601 Suite 300 Midland NC 28107-9535 Ph: (704) 888-3702 |
| NPI Number | 1073560850 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 12/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073560850 | NPI | - | NPPES |
| 019F0 | Other | NC | BCBS EFF 7-1-07 |
| 566000156032 | Other | NC | TRICARE STANDARD, NON NWK |
| 9805 | Other | NC | PARTNERS MEDICARE CHOICE |
| 355573 | Other | NC | MAMSI GROUP |
| 5906966 | Medicaid | NC | |
| CC2854 | Other | NC | RAILROAD MEDICARE GROUP |
| 790298R | Medicaid | NC | |
| 0298R | Other | NC | BCBS EFF PRIOR TO 7-1-07 |
| DF8926 | Other | NC | RAILROAD MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
The Charlotte-mecklenburg Hospital Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12925 Highway 601, Ste 300, Midland, NC 28107 Phone: 704-888-3702 |