Jacksonville Family Medical Center, Pllc in Jacksonville - Family Medicine
Jacksonville Family Medical Center, Pllc - NPI 1104925056
Jacksonville Family Medical Center, Pllc is a Family Medicine in Jacksonville, North Carolina. Jacksonville Family Medical Center, Pllc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jacksonville Family Medical Center, Pllc is 1104925056. The last update date is 2008-05-09.
Jacksonville Family Medical Center, Pllc's current location address is 2587 Henderson Dr, Jacksonville, North Carolina. You can contact this provider via phone number 9109383200 and fax number 9109383043. The mailing address for Jacksonville Family Medical Center, Pllc is 2587 Henderson Dr, Jacksonville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jacksonville Family Medical Center, Pllc |
|---|---|
| Address | 2587 Henderson Dr, Jacksonville, North Carolina |
| Phone Number | 9109383200 |
| Fax Number | 9109383043 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Thomas A Ricky |
| Credentials | M.D. |
| Telephone Number | 9109383200 |
NPI Number Detail
| NPI Number | 1104925056 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2008-05-09 |
Provider Mailing Address Detail
| Address | 2587 Henderson Dr |
|---|---|
| City | Jacksonville |
| State | North Carolina (NC) |
| Post Code | 285465253 |
| Phone Number | 9109383200 |
| Fax Number | 9109383043 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36058 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DG9898 | NC | RAILROAD MEDICARE PIN | |
| 89011JH | NC | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jacksonville Family Medical Center, Pllc by the Centers for Medicare & Medicaid Services?
The Jacksonville Family Medical Center, Pllc has been issued the NPI (National Provider Identifier) 1104925056. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jacksonville Family Medical Center, Pllc's facilities are geographically located?
The facilities of Jacksonville Family Medical Center, Pllc are physically situated at the following location: 2587 Henderson Dr, Jacksonville, NC, 285465253.
What is the Jacksonville Family Medical Center, Pllc's area of specialization and corresponding taxonomy classification?
The Jacksonville Family Medical Center, Pllc's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Jacksonville Family Medical Center, Pllc receive its 1104925056 assignment from the Centers for Medicare & Medicaid Services?
The Jacksonville Family Medical Center, Pllc was assigned its 1104925056 by the Centers for Medicare & Medicaid Services on 2006-09-21.
When was the Jacksonville Family Medical Center, Pllc's information last updated?
The Jacksonville Family Medical Center, Pllc's information was last updated on 2008-05-09.