Southeastern Healthcare Of Jacksonville in Jacksonville - Family Medicine
Southeastern Healthcare Of Jacksonville - NPI 1376505156
Southeastern Healthcare Of Jacksonville is a Family Medicine in Jacksonville, North Carolina. Southeastern Healthcare Of Jacksonville practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Southeastern Healthcare Of Jacksonville is 1376505156. The last update date is 2020-08-22.
Southeastern Healthcare Of Jacksonville's current location address is 260 Memorial Dr, Jacksonville, North Carolina. You can contact this provider via phone number 9103556000 and fax number 9103557533. The mailing address for Southeastern Healthcare Of Jacksonville is 260 Memorial Dr, Jacksonville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeastern Healthcare Of Jacksonville |
|---|---|
| Address | 260 Memorial Dr, Jacksonville, North Carolina |
| Phone Number | 9103556000 |
| Fax Number | 9103557533 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Horton V. Maurice |
| Credentials | D.C |
| Telephone Number | 9103921488 |
NPI Number Detail
| NPI Number | 1376505156 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 260 Memorial Dr |
|---|---|
| City | Jacksonville |
| State | North Carolina (NC) |
| Post Code | 285466332 |
| Phone Number | 9103556000 |
| Fax Number | 9103557533 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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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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What is the unique identifier code issued to Southeastern Healthcare Of Jacksonville by the Centers for Medicare & Medicaid Services (CMS)?
The Southeastern Healthcare Of Jacksonville has been assigned the NPI (National Provider Identifier) 1376505156. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Southeastern Healthcare Of Jacksonville's physical address?
The Southeastern Healthcare Of Jacksonville is physically located at 260 Memorial Dr, in the city of Jacksonville, NC, with the postal code 285466332.
What is Southeastern Healthcare Of Jacksonville's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Southeastern Healthcare Of Jacksonville's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376505156 to Southeastern Healthcare Of Jacksonville?
The Centers for Medicare & Medicaid Services originally issued the 1376505156 to Southeastern Healthcare Of Jacksonville on 2006-04-05.
As of what date was the information regarding Southeastern Healthcare Of Jacksonville, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Southeastern Healthcare Of Jacksonville, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
NPI Number: 1932102142
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