Elk River Medical Associates, Pa in Banner Elk - Multi-specialty

Elk River Medical Associates, Pa - NPI 1093700338

Elk River Medical Associates, Pa is a Multi-specialty in Banner Elk, North Carolina. Elk River Medical Associates, Pa practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Elk River Medical Associates, Pa is 1093700338. The last update date is 2020-08-22.

Elk River Medical Associates, Pa's current location address is Po Box 1568, Banner Elk, North Carolina. You can contact this provider via phone number 8288985177 and fax number 8288988306. The mailing address for Elk River Medical Associates, Pa is Po Box 1568, Banner Elk, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Elk River Medical Associates, Pa
Address Po Box 1568, Banner Elk, North Carolina
Phone Number 8288985177
Fax Number 8288988306
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT/
Authorized Official Name Kimmel Paul David
Credentials MD
Telephone Number 8288985177

NPI Number Detail

NPI Number 1093700338
Provider Enumeration Date 2005-09-13
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address Po Box 1568
City Banner Elk
State North Carolina (NC)
Post Code 286041568
Phone Number 8288985177
Fax Number 8288988306

Provider's Primary Taxonomy Detail

Speciality Multi-specialty
Taxonomy 261Qm1300X
Licence No 38891
Definition:
Provides integrated outpatient care across medical and surgical specialties with referrals under one roof.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
890150B NC --
C14617 NC GROUP RAILROAD MEDICARE
0150B NC NC BLUECROSS BLUESHIELD
4404134 TN --
112304 TN TN BLUECROSS&TENNCARE

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FAQs about Elk River Medical Associates, Pa

What is the unique 10-digit identification code issued to Elk River Medical Associates, Pa by the Centers for Medicare & Medicaid Services?

The Elk River Medical Associates, Pa has been assigned the NPI (National Provider Identifier) 1093700338 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Elk River Medical Associates, Pa is located?

The Elk River Medical Associates, Pa is situated at the following address: Po Box 1568, Banner Elk, NC, 286041568.

What is Elk River Medical Associates, Pa's specialized field of practice, and what is the corresponding taxonomy classification code?

The Elk River Medical Associates, Pa's area of specialization is Multi-specialty, and the corresponding taxonomy code that categorizes this field of practice is 261Qm1300X.

On what date did the Elk River Medical Associates, Pa receive its 1093700338 assignment from the Centers for Medicare & Medicaid Services?

The Elk River Medical Associates, Pa was assigned its 1093700338 by the Centers for Medicare & Medicaid Services on 2005-09-13.

As of what date were the Elk River Medical Associates, Pa's details last updated?

The information pertaining to the Elk River Medical Associates, Pa, including its address, specialty, and other details, was most recently updated on 2020-08-22.

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