| Triad Adult And Pediatric Medicine Inc | |
|
624 Quaker Ln Ste 100c High Point NC 27262-3832 | |
| (336) 878-6027 | |
| (336) 878-6189 |
| Full Name | Triad Adult And Pediatric Medicine Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 624 Quaker Ln Ste 100c, High Point, North Carolina |
| Authorized Official Name and Position | Brian Ellerby (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3362721050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Triad Adult And Pediatric Medicine Inc 1046 E Wendover Ave Greensboro NC 27405-6712 Ph: (336) 272-1050 | Triad Adult And Pediatric Medicine Inc 624 Quaker Ln Ste 100c High Point NC 27262-3832 Ph: (336) 878-6027 |
| NPI Number | 1023318961 |
|---|---|
| Provider Enumeration Date | 10/26/2010 |
| Last Update Date | 08/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023318961 | NPI | - | NPPES |
| 34-1964 | Other | NC | MEDICARE A |
| 344044C | Medicaid | NC | |
| 344044A | Medicaid | NC | |
| 344044B | Medicaid | NC | |
| 56162 | Other | NC | MEDCOST |
| 3460235 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 024UE | Other | NC | BCBS OF NC |
| 34D1002754 | Other | NC | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 3336C0002X | Pharmacy - Clinic Pharmacy | (* (Not Available)) | Secondary |
Gordon B Arnold Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 Gatewood Ave Ste B, High Point, NC 27262 Phone: 336-819-5220 Fax: 336-884-5070 | |
Wake Forest Health Network Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4515 Premier Dr Ste 405, High Point, NC 27265 Phone: 336-802-2105 Fax: 336-802-2106 | |
Wake Forest Health Network Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1814 Westchester Dr Ste 203, High Point, NC 27262 Phone: 336-802-2025 Fax: 336-802-2026 | |
Wake Forest University Health Sciences Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4515 Premier Dr Ste 307, High Point, NC 27265 Phone: 336-802-2250 Fax: 336-881-3890 | |
Horizon Internal Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1380 Eastchester Dr Ste 105, High Point, NC 27265 Phone: 336-610-1300 Fax: 336-672-6001 | |
The Community Clinic Of High Point, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 Quaker Ln Ste C207, High Point, NC 27262 Phone: 336-841-7154 Fax: 336-841-8589 |