Organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Active
Parent organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Other names
Ardsley Internal Medicine-Harrisburg
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS MEDICAL CENTER-NORTHEAST
Authorized official
FRIEDA M LOWDER (VP PHYSICIAN SERVICES)
(704) 402-4146
Entity
Organization
Contact information
Practice address
5427 HIGHWAY 49 S, HARRISBURG, NC 28075-7408
(704) 454-7360
(704) 454-7377
Mailing address
5427 HIGHWAY 49 S, HARRISBURG, NC 28075-7408
(704) 454-7360
(704) 454-7377
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01058
BCBSNC PRIOR TO 7-1-07
NC
01
—
019FV
BCBSNC 7-1-07
NC
01
—
344295
MAMSI GROUP NUMBER
NC
01
—
566000156051
TRICARE STANDARD, NON NWK
NC
05
—
5906963
—
NC
05
—
89013W3
—
NC
01
—
CC2854
RAILROAD MEDICARE GROUP
NC
01
—
DF8926
RAILROAD MEDICARE PTAN
NC
01
—
F827
PARTNERS MEDICARE CH
NC
Enumeration date
01/18/2007
Last updated
03/28/2014
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