NPIMap

Med First Immediate Care & Family Practice PA

Organization Active NPI Family Medicine Physician · Richlands, NC

NPI 1447780804 · NPPES record last updated Jan 21, 2020

Key facts

NPI
1447780804
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA
Practice address
154 Beulaville Hwy
Richlands, NC 28574-7104
Phone
(910) 324-9935
Fax
(910) 324-9938
NPI assigned
Jun 18, 2017
Organization subpart
Yes
Parent organization (as reported)
MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA

Authorized official

Name
Mr. Paul Feneck
Title
Chief Executive Officer
Phone
(919) 341-4016

Corporate family (same tax ID) 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1060298Med First Immediate Care &
154 Beulaville Highway, Richlands, NC 28574		Certificate of waiverNov 30, 2026

National Provider Directory

Tax ID family
Med First Immediate Care Family Practice PA (44 organizations share this tax ID)
Part of
Med First Immediate Care Family Practice PA

Locations

154 Beulaville Hwy
Richlands, NC 28574
Phone (910) 324-9935

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

154 Beulaville Hwy
Richlands, NC 28574-7104

Mailing address

1616 E Millbrook Rd Ste 110
Raleigh, NC 27609-4971
Phone (919) 341-4016

Other providers in Richlands, NC

All providers in Richlands, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.