MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA – NPI #1487164208
Clinic/Center

MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA is an AHC clinic located in JACKSONVILLE, NC. NPPES has assigned the NPI number 1487164208 to MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA on October 06, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 6 years ago on Jan 21, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA below.

NPI Profile for
MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA

NPI Number
1487164208
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA
Primary location
325 WESTERN BLVD
JACKSONVILLE, NC 28546-6341
Phone: (910) 577-1555 Fax: (910) 353-0852
Mailing address
1616 E MILLBROOK RD STE 110
RALEIGH, NC 27609-4971
Phone: (919) 341-4016 Fax: (910) 346-1907
Organization Subpart
Yes - MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA is subpart of another organization.
Authorized Official
PAUL FENECK
CEO
Phone: (919) 341-4016
Updated
Certification Date
Jan 21, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.