| Triad Adult And Pediatric Medicine, Inc. | |
|
433 W. Meadowview Road Greensboro NC 27406-4316 | |
| (336) 370-9091 | |
| (336) 370-4922 |
| Full Name | Triad Adult And Pediatric Medicine, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 433 W. Meadowview Road, Greensboro, North Carolina |
| Authorized Official Name and Position | Brian K Ellerby (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3362721050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Triad Adult And Pediatric Medicine, Inc. 1046 E Wendover Ave Greensboro NC 27405-6712 Ph: (336) 272-1050 | Triad Adult And Pediatric Medicine, Inc. 433 W. Meadowview Road Greensboro NC 27406-4316 Ph: (336) 370-9091 |
| NPI Number | 1710049986 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 08/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710049986 | NPI | - | NPPES |
| 6005222 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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