| North Hills Internal & Integrative Medicine, Pa | |
|
4822 Six Forks Rd Raleigh NC 27609-5269 | |
| (919) 977-1675 | |
| (919) 977-3398 |
| Full Name | North Hills Internal & Integrative Medicine, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4822 Six Forks Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Henry Joseph Van Pala (OWNER/PROVIDER) |
| Authorized Official Contact | 9196628633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Hills Internal & Integrative Medicine, Pa 4822 Six Forks Rd Raleigh NC 27609-5269 Ph: (919) 977-1675 | North Hills Internal & Integrative Medicine, Pa 4822 Six Forks Rd Raleigh NC 27609-5269 Ph: (919) 977-1675 |
| NPI Number | 1669883435 |
|---|---|
| Provider Enumeration Date | 05/15/2014 |
| Last Update Date | 06/24/2014 |
| Medicare PECOS PAC ID | 7618194226 |
|---|---|
| Medicare Enrollment ID | O20140808000392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669883435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 28586 (North Carolina) | Primary |
| Provider Name | Henry J Vanpala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710241658 PECOS PAC ID: 7517191216 Enrollment ID: I20140110001426 |
| Provider Name | Jessica L Allyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407208788 PECOS PAC ID: 4789964396 Enrollment ID: I20161216000508 |
| Provider Name | Henry M Vanpala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023518339 PECOS PAC ID: 7113261199 Enrollment ID: I20181203000043 |
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