Organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Active
Parent organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Other names
CAROLINA INTERNAL MEDICINE-CONCORD
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS MEDICAL CENTER-NORTHEAST
Authorized official
FRIEDA M LOWDER (VP PHYSICIAN SERVICES)
(704) 403-4146
Entity
Organization
Contact information
Practice address
200 MEDICAL PARK DR, SUITE 300, CONCORD, NC 28025-2982
(704) 403-3676
(704) 403-3666
Mailing address
200 MEDICAL PARK DR, SUITE 300, CONCORD, NC 28025-2982
(704) 403-3676
(704) 403-3666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017EW
BCBS EFF PRIOR TO 7-1-07
NC
01
—
019F2
BCBSNC
NC
01
—
355573
MAMSI GROUP ID
NC
01
—
566000156065
TRICARE
NC
05
—
5901373
—
NC
05
—
5906962
—
NC
01
—
CN2098
RAILROAD GROUP ID
NC
01
—
DF8926
RAILROAD MEDICARE PTAN
NC
01
—
J386
PARTNERS MEDICARE CHOICE
NC
Enumeration date
06/05/2006
Last updated
08/27/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us