Delco Health Clinic

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DELCO HEALTH CLINIC

Practice address

25478 Andrew Jackson Hwy E
Delco, NC 28436-9356

Phone

(910) 442-1866

NPI assigned

May 21, 2008

Last updated

May 21, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Emily Fitzgerald

Title

Manager

Phone

(910) 442-1866

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Wesley Johnson, MD

  • Family Medicine Physician
  • Clarksville, TN
  • NPI 1295882348
  NPD (past)
• Marie Gay C Navasero, MD

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1306817713
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1013174663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15009",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284085009",
            "telephone_number": "910-442-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25478 ANDREW JACKSON HWY E",
            "city": "DELCO",
            "state": "NC",
            "postal_code": "284369356",
            "telephone_number": "910-442-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELCO HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "910-442-1866"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890199Q",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cara Bailey
• Shanise Laquae Belamy, MASSAGE THERAPIST
• Richard Catoe Bumgardner, MD
• Community Support Agency, LLC
• Joseph E. Corbin, LPC, LCAS
• Delco Urgent Care
• Delco Urgent Care LLC
• Elizabeth Burgess Downing, RPH
• East Columbus Primary Care PA
• Autumn Nicole Fields

• General Practice Physician in Delco, NC
• Providers in Delco, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.