NPIMap

Organization Active NPI

Laurel Hill Medical Clinic PC

  • Rural Health Clinic/Center
  • Laurel Hill, NC
National Provider Identifier
1932297751
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
LAUREL HILL MEDICAL CLINIC PC
Practice address
18901 Ida Mill Rd
Laurel Hill, NC 28351-8326
Phone
(910) 462-2707
Fax
(910) 462-4184
NPI assigned
Oct 10, 2006
Last updated
Nov 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Michael Bhiro
Title
Corp. Secretary
Phone
(910) 462-2707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

18901 Ida Mill Rd
Laurel Hill, NC 28351-8326

Mailing address

18901 Ida Mill Rd
Laurel Hill, NC 28351-8326
Phone (910) 462-2707

Other identifiers 1

IdentifierTypeStateIssuer
343964AMedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1932297751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18901 IDA MILL RD",
            "city": "LAUREL HILL",
            "state": "NC",
            "postal_code": "283518326",
            "telephone_number": "910-462-2707",
            "fax_number": "910-462-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18901 IDA MILL RD",
            "city": "LAUREL HILL",
            "state": "NC",
            "postal_code": "283518326",
            "telephone_number": "910-462-2707",
            "fax_number": "910-462-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL HILL MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "BHIRO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CORP. SECRETARY",
        "authorized_official_telephone_number": "910-462-2707"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343964A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.