Family Medical Center
Organization Active NPI Primary Care Clinic/Center · Wingate, NC
NPI 1184749574 · NPPES record last updated Jun 24, 2009
Key facts
- NPI
- 1184749574
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- 9900973 (NC)
- Legal business name
- FAMILY MEDICAL CENTER
- Practice address
- 2820 Belk Mill Rd
Wingate, NC 28174-8764 - Phone
- (704) 624-3790
- Fax
- (704) 624-3578
- NPI assigned
- Mar 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Ronnie Brian Outen, M.D.
- Title
- Physician
- Phone
- (704) 624-3790
National Provider Directory
Locations
303 W Main St
Marshville, NC 28103
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 9900973 | NC | Yes |
Addresses
Primary practice location
2820 Belk Mill Rd
Wingate, NC 28174-8764
Mailing address
303 West Main Street
Marshville, NC 28103-0648
Phone (704) 624-3790
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891293G | Medicaid | NC |
Other providers in Wingate, NC
- Henry Wheeler Davis
- Jessica Davis
- Mylinh Dotruong
- Janine Douglas
- Educate & Elevate Learning and Therapeutic
- Alison Rose Fitzgerald
- Gabby Fleischli
- Ebrie Chandale Franklin
- Colton Freeman
- Lacie Kendall Geisel
All providers in Wingate, NC · Primary Care Clinic/Center in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.