Organization
THE PRESBYTERIAN HOSPITAL
Active
Organization
THE PRESBYTERIAN HOSPITAL
Active
Other names
Novant Health Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
AMY VANCE (SVP & COO OF PHC)
(704) 384-7606
Entity
Organization
Contact information
Practice address
6324 FAIRVIEW RD, SUITE 310, CHARLOTTE, NC 28210-4172
(704) 316-6565
(704) 316-6560
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-6565
(704) 316-6560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NC
207R00000X
Internal Medicine Physician
—
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02246
BCBS NC
NC
05
—
89012M7
—
NC
01
—
CG8809
RAILROAD MEDICARE
NC
05
—
NPA925
—
SC
Enumeration date
05/19/2006
Last updated
07/05/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up