Triad Adult And Pediatric Medicine, Inc. in High Point - Federally Qualified Health Center (fqhc)
Triad Adult And Pediatric Medicine, Inc. - NPI 1629077490
Triad Adult And Pediatric Medicine, Inc. is a Federally Qualified Health Center (fqhc) in High Point, North Carolina. Triad Adult And Pediatric Medicine, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Triad Adult And Pediatric Medicine, Inc. is 1629077490. The last update date is 2011-08-29.
Triad Adult And Pediatric Medicine, Inc.'s current location address is 400 E Commerce Ave, High Point, North Carolina. You can contact this provider via phone number 3368840224 and fax number 3368843471. The mailing address for Triad Adult And Pediatric Medicine, Inc. is 400 E Commerce Ave, High Point, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Triad Adult And Pediatric Medicine, Inc. |
|---|---|
| Address | 400 E Commerce Ave, High Point, North Carolina |
| Phone Number | 3368840224 |
| Fax Number | 3368843471 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Ellerby K. Brian |
| Credentials | MSPH CMPE |
| Telephone Number | 3362721050 |
NPI Number Detail
| NPI Number | 1629077490 |
|---|---|
| Provider Enumeration Date | 2005-07-14 |
| Last Updated Date | 2011-08-29 |
Provider Mailing Address Detail
| Address | 400 E Commerce Ave |
|---|---|
| City | High Point |
| State | North Carolina (NC) |
| Post Code | 2726052210 |
| Phone Number | 3368840224 |
| Fax Number | 3368843471 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 890245J | NC | -- | |
| 34D0926775 | CLIA | ||
| 0272J | NC | BCBS | |
| 2318638A | NC | MEDICARE PART B |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Triad Adult And Pediatric Medicine, Inc. by the Centers for Medicare & Medicaid Services?
The Triad Adult And Pediatric Medicine, Inc. has been assigned the NPI (National Provider Identifier) 1629077490 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Triad Adult And Pediatric Medicine, Inc.'s facilities are geographically located?
The facilities of Triad Adult And Pediatric Medicine, Inc. are physically situated at the following location: 400 E Commerce Ave, High Point, NC, 2726052210.
What is Triad Adult And Pediatric Medicine, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Triad Adult And Pediatric Medicine, Inc. is Federally Qualified Health Center (fqhc), and the taxonomy classification code that categorizes this area of expertise is 261Qf0400X.
When was the Triad Adult And Pediatric Medicine, Inc.'s 1629077490 issued?
The Triad Adult And Pediatric Medicine, Inc.'s 1629077490 was issued on 2005-07-14.
When was the information regarding Triad Adult And Pediatric Medicine, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Triad Adult And Pediatric Medicine, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-08-29.