BURLINGTON UROLOGICAL ASSOCIATES OF MEBANE


Address: 102 Medical Park Dr, Suite C, Mebane, NC 27302-7632
Phone: 9195636132

BURLINGTON UROLOGICAL ASSOCIATES OF MEBANE (NPI# 1225253115) 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) 1225253115
Entity Type Organization
Organization Name BURLINGTON UROLOGICAL ASSOCIATES OF MEBANE
Practice Address 102 Medical Park Dr
Suite C
Mebane
NC 27302-7632
Practice Telephone 9195636132
Mailing Telephone 9195636132
Enumeration Date 2007-04-16
Last Update Date 2007-10-05
Authorized Official Name BETTY HALL (OFFICE MANAGER)
Authorized Official Telephone 3362272761
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC MEDICARE GROUP # 230130 01
NC 89230130 05

Office Location

Street Address 102 MEDICAL PARK DR
SUITE C
City MEBANE
State NC
Zip Code 27302-7632

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235208752 John Simon Harman Urology 102 Medical Park Dr, Suite C, Mebane, NC 27302-7632 2006-11-07

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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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City MEBANE
Zip Code 27302

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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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