Organization
TRIAD ADULT AND PEDIATRIC MEDICINE, INC
Active
Organization
TRIAD ADULT AND PEDIATRIC MEDICINE, INC
Active
Other names
Clara F. Gunn Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE A. LEWIS (INTERIM CHIEF EXECUTIVE OFFICER)
(336) 355-9715
Entity
Organization
Contact information
Practice address
922 THIRD AVE, REIDSVILLE, NC 27320-4440
(336) 355-9913
(336) 637-8091
Mailing address
1002 S EUGENE ST, GREENSBORO, NC 27406-1308
(336) 355-9715
(336) 763-2896
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962741421
—
NC
Enumeration date
02/04/2013
Last updated
04/20/2015
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