DOWNTOWN CLINIC, P.A.


Address: 119 Chestnut St, Wilmington, NC 28401-3940
Phone: 9107625588

DOWNTOWN CLINIC, P.A. (NPI# 1093785719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093785719
Entity Type Organization
Organization Name DOWNTOWN CLINIC, P.A.
Other Organization Name THE DOWNTOWN MEDCENTER
Practice Address 119 Chestnut St
Wilmington
NC 28401-3940
Practice Telephone 9107625588
Practice Fax Number 9107625589
Mailing Telephone 9107625588
Mailing Fax Number 9107625589
Enumeration Date 2006-01-25
Last Update Date 2012-10-19
Authorized Official Name MR. JAMES PATRICK EGERER (OWNER)
Authorized Official Telephone 9107625588
Authorized Official Credential P.A.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center 69766 NC Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC BC/BS OF NC 012V5 01
NC 89012V5 05

Other Provider/Organization Names

Other Name Type Code
The Downtown MedCenter Doing Business As Name - Organization

Office Location

Street Address 119 CHESTNUT ST
City WILMINGTON
State NC
Zip Code 28401-3940

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639682230 Pelican Family Medicine Downtown Family Medicine 119 Chestnut St, Wilmington, NC 28401-3940 2017-11-06
1891765137 James Patrick Egerer Physician Assistant 119 Chestnut St, Wilmington, NC 28401-3940 2006-01-26

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NPI Name Taxonomy Address Enumeration
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1639617343 Anna Farwell Behavior Technician 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 2017-02-02
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1629457007 Megan Havel Counselor 1512 E Lakeshore Drive, Wilmington, NC 28401 2015-05-19
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1942550728 Bryan Cole Chalk Nurse Anesthetist, Certified Registered 2131 S 17th Street, Wilmington, NC 28401 2012-09-19
1740566546 Valerie Baars Pharmacist 2302 S 17th Street, Wilmington, NC 28401 2011-10-25
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy 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., radiology, poor, and public health).

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1144531153 Lawrence M. Linett,m.d.,pllc Clinic/Center 5311 S College Rd, Wilmington, NC 28412-2211 2010-06-24
1609009513 Global Medical Clinic Clinic/Center 1110 W Anaheim St Ste 6, Wilmington, CA 90744-4131 2009-08-25
1508071606 Tlc Management (delaware Valley), LLC Clinic/Center 2700 Centerville Rd, Ste. 200, Wilmington, DE 19808-1608 2007-05-11
1962589937 National Women's Health Organization of Delaware, Inc. Clinic/Center 312 Mitch Rd, Wilmington, DE 19804-3994 2006-11-01
1710942867 Dixon Primary Care Clinic/Center 720 Market St, Wilmington, NC 28401-4647 2006-04-20
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Competitor

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City WILMINGTON
Zip Code 28401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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