Independence Health Pa in Smithfield - Geriatric Medicine

Independence Health Pa - NPI 1184882094

Independence Health Pa is a Geriatric Medicine in Smithfield, North Carolina. Independence Health Pa practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Independence Health Pa is 1184882094. The last update date is 2013-10-31.

Independence Health Pa's current location address is 515 Barbour Rd, Smithfield, North Carolina. You can contact this provider via phone number 9199346017 and fax number 9199342057. The mailing address for Independence Health Pa is 515 Barbour Rd, Smithfield, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Independence Health Pa
Address 515 Barbour Rd, Smithfield, North Carolina
Phone Number 9199346017
Fax Number 9199342057
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Bennett L Bernard
Credentials MD
Telephone Number 9196228272

NPI Number Detail

NPI Number 1184882094
Provider Enumeration Date 2008-05-28
Last Updated Date 2013-10-31

Provider Mailing Address Detail

Address 515 Barbour Rd
City Smithfield
State North Carolina (NC)
Post Code 275777698
Phone Number 9199346017
Fax Number 9199342057

Provider's Primary Taxonomy Detail

Speciality Geriatric Medicine
Taxonomy 207Rg0300X
Licence No 36492
Definition:
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DO0034 NC MEDICARE RAILROAD

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FAQs about Independence Health Pa

What is the unique identification code assigned to Independence Health Pa by the Centers for Medicare & Medicaid Services?

The Independence Health Pa has been issued the NPI (National Provider Identifier) 1184882094. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Independence Health Pa is located?

The Independence Health Pa is situated at the following address: 515 Barbour Rd, Smithfield, NC, 275777698.

What is Independence Health Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Independence Health Pa's specialized field of practice is Geriatric Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Rg0300X.

On what date did the Centers for Medicare & Medicaid Services issue the 1184882094 to Independence Health Pa?

The Independence Health Pa received its 1184882094 assignment from the Centers for Medicare & Medicaid Services on 2008-05-28.

When was the information regarding Independence Health Pa most recently updated?

The details pertaining to the Independence Health Pa, including its address, specialty, and other relevant information, were last refreshed on 2013-10-31.

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