PINEHURST MEDICAL CLINIC INC (NPI# 1295993327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295993327 |
| Entity Type | Organization |
| Organization Name | PINEHURST MEDICAL CLINIC INC |
| Other Organization Name | LUMBER RIVER CARDIOLOGY |
| Practice Address |
705b Lauchwood Drive Laurinburg NC 28352-5544 |
| Practice Telephone | 9102660111 |
| Practice Fax Number | 9102770055 |
| Mailing Telephone | 9102660111 |
| Mailing Fax Number | 9102770055 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2010-02-26 |
| Authorized Official Name | MR. CYRUS J FAIRCLOTH II (CEO) |
| Authorized Official Telephone | 9102955511 |
| Is Organization Subpart | Y |
| Parent Organization Name | PINEHURST MEDICAL CLINIC, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5950379 | 05 | |
| NC | BC/BS NC GROUP PROVIDER# | 020R0 | 01 |
| SC | SC MEDICAID GROUP PROVIDER# | NPB301 | 01 |
| PALMETTO GBA GROUP PROVIDER# | CC6114 | 01 |
| Other Name | Type Code |
|---|---|
| Lumber River Cardiology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760784359 | Pinehurst Medical Clinic Inc | Pharmacy | 15 Regional Dr, 2nd Floor Lobby, Pinehurst, NC 28374-8850 | 2010-12-02 |
| 1356421853 | Pinehurst Medical Clinic Inc | Clinic/Center | 15 Regional Dr, Pinehurst, NC 28374-8850 | 2006-10-17 |
| 1962509372 | Pinehurst Medical Clinic Inc | Clinical Medical Laboratory | 205 Page Rd, Pinehurst, NC 28374-8798 | 2006-09-20 |
| 1255388369 | Pinehurst Medical Clinic Inc | Family Medicine | 205 Page Rd, Pinehurst, NC 28374-8798 | 2006-05-27 |
| Street Address |
705B LAUCHWOOD DRIVE |
| City | LAURINBURG |
| State | NC |
| Zip Code | 28352-5544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497291645 | Hope Mckee | Physician Assistant | 500 Launchwood Dr, Laurinburg, NC 28352 | 2017-01-12 |
| 1174073753 | Scotland County Area Transit System | Non-emergency Medical Transport (VAN) | 1403- C West Boulevard, Laurinburg, NC 28352 | 2016-10-07 |
| 1972969780 | Onsite Healthcare Services LLC | Family Medicine | 9141 Tartan Road, Laurinburg, NC 28352 | 2016-01-08 |
| 1952775108 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 907 Us 401 Bypass, Laurinburg Commons, Laurinburg, NC 28352 | 2015-11-25 |
| 1790165165 | Sheena Kang Neil | Dentist | 109 Mcalpine Ln, Laurinburg, NC 28352 | 2015-06-01 |
| 1114321973 | Alicia Oxendine | Social Worker | 12121 Mccarter Avenue, Laurinburg, NC 28352 | 2014-10-22 |
| 1699185231 | Allen Ballew | Family Medicine | 1707 Berwick Dr Ste B, Laurinburg, NC 28352 | 2014-05-05 |
| 1205256435 | Sharon Miller | Social Worker | 405 Biggs St., Laurinburg, NC 28352 | 2014-04-28 |
| 1215375563 | Qwenzella Wynn | Counselor | 12640 Southwood Dr, Laurinburg, NC 28352 | 2013-06-10 |
| 1114360401 | Jewel Antiqual Mcintyre | Counselor | 420 Fairley Street, Laurinburg, NC 28352 | 2013-04-17 |
| Find all providers in zip 28352 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| 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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| Find all providers with the same taxonomy | ||||
| City | LAURINBURG |
| Zip Code | 28352 |
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| 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.