Organization
BLUEH IV HEALTH SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LA TOYA DAWSON (BILLING DIRECTOR)
(352) 231-7551
Entity
Organization
Contact information
Practice address
9625 DAVID TAYLOR DR, CHARLOTTE, NC 28262-2362
(704) 942-8281
(352) 554-5073
Mailing address
3208 GRANDEUR RD, CHARLOTTE, NC 28269-3217
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336556414
—
NC
Enumeration date
08/14/2020
Last updated
09/21/2020
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