Bomray Medical Clinic in Charlotte - Clinic/center
Bomray Medical Clinic - NPI 1013974864
Bomray Medical Clinic is a Clinic/center in Charlotte, North Carolina. Bomray Medical Clinic practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Bomray Medical Clinic is 1013974864. The last update date is 2010-07-20.
Bomray Medical Clinic's current location address is 3627 Beatties Ford Rd, Charlotte, North Carolina. You can contact this provider via phone number 7043350806 and fax number 7043342073. The mailing address for Bomray Medical Clinic is 3627 Beatties Ford Rd, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bomray Medical Clinic |
|---|---|
| Address | 3627 Beatties Ford Rd, Charlotte, North Carolina |
| Phone Number | 7043350806 |
| Fax Number | 7043342073 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BILLING RE |
|---|---|
| Authorized Official Name | Olszewski Jerri |
| Telephone Number | 7043350806 |
NPI Number Detail
| NPI Number | 1013974864 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2010-07-20 |
Provider Mailing Address Detail
| Address | 3627 Beatties Ford Rd |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282163249 |
| Phone Number | 7043350806 |
| Fax Number | 7043342073 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 890271W | NC | -- |
Post Comment/ Review Below
What is the Bomray Medical Clinic's unique identification number?
The Bomray Medical Clinic has been assigned the NPI (National Provider Identifier) Number 1013974864 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Bomray Medical Clinic is physically located?
The Bomray Medical Clinic is physically situated at the following address: 3627 Beatties Ford Rd, Charlotte, NC, 282163249.
What is the Bomray Medical Clinic's specialty and taxonomy code?
The Bomray Medical Clinic's specialty is Clinic/center, and the corresponding taxonomy code is 261Q00000X.
On what date did Bomray Medical Clinic receive its 1013974864 assignment from the Centers for Medicare & Medicaid Services?
The Bomray Medical Clinic was assigned its 1013974864 on 2006-04-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Bomray Medical Clinic's information last updated?
The Bomray Medical Clinic's information was last updated on 2010-07-20.