Organization Active NPI

DGH-Ech Partnership LLC

Doing business as Wallace Family Medicine

  • Family Medicine Physician
  • Wallace, NC
National Provider Identifier
1932334869
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DGH-ECH PARTNERSHIP LLC
Doing business as
Wallace Family Medicine
Practice address
404 E Main St
Wallace, NC 28466-2726
Phone
(910) 285-2134
Fax
(910) 285-3380
NPI assigned
May 21, 2009
Last updated
May 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Authorized official

Name
Ms. Lynn T Lanier
Title
VP of Finance and Operations
Phone
(252) 847-0848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

404 E Main St
Wallace, NC 28466-2726

Mailing address

404 E Main St
Wallace, NC 28466-2726

Other names 1

  • Wallace Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

404 E Main St
Wallace, NC 28466
Phone (910) 285-2134

NPI Registry JSON

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1932334869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E MAIN ST",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284662726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E MAIN ST",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284662726",
            "telephone_number": "910-285-2134",
            "fax_number": "910-285-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DGH-ECH PARTNERSHIP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "LANIER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP OF FINANCE AND OPERATIONS",
        "authorized_official_telephone_number": "252-847-0848",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wallace Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wallace, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.