Chan Park Md Inc in Slatersville - Family Medicine

Chan Park Md Inc - NPI 1104865849

Chan Park Md Inc is a Family Medicine in Slatersville, Rhode Island. Chan Park Md Inc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Chan Park Md Inc is 1104865849. The last update date is 2008-02-26.

Chan Park Md Inc's current location address is Po Box 177, Slatersville, Rhode Island. You can contact this provider via phone number 4017622728 and fax number 4017620473. The mailing address for Chan Park Md Inc is Po Box 177, Slatersville, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Organization Chan Park Md Inc
Address Po Box 177, Slatersville, Rhode Island
Phone Number 4017622728
Fax Number 4017620473
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Park Hoon Chan
Credentials MD
Telephone Number 4017622728

NPI Number Detail

NPI Number 1104865849
Provider Enumeration Date 2006-06-06
Last Updated Date 2008-02-26

Provider Mailing Address Detail

Address Po Box 177
City Slatersville
State Rhode Island (RI)
Post Code 2876
Phone Number 4017622728
Fax Number 4017620473

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No MD5083
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
12601 RI BLUE CROSS BLUE SHIELD
9001260 RI --
1727 RI BCBS BLUE CHIP
404332 TUFTS
AA26737 HAVARD PILGRIM
101561 MA EVERCARE
100118 UNITED HEALTHCARE

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FAQs about Chan Park Md Inc

What is the unique 10-digit identifier code assigned to Chan Park Md Inc by the Centers for Medicare & Medicaid Services?

The Chan Park Md Inc has been issued the NPI (National Provider Identifier) 1104865849 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

What is Chan Park Md Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Chan Park Md Inc'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 Chan Park Md Inc receive its 1104865849 assignment from the Centers for Medicare & Medicaid Services?

The Chan Park Md Inc was assigned its 1104865849 on 2006-06-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Chan Park Md Inc most recently updated or refreshed?

The details pertaining to the Chan Park Md Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-02-26.

As of what date was the information regarding Chan Park Md Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Chan Park Md Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-02-26.

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