BOLIVIA MEDICAL CENTER – NPI #1992764211
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

BOLIVIA MEDICAL CENTER is a provider located in BOLIVIA, NC. NPPES has assigned the NPI number 1992764211 to BOLIVIA MEDICAL CENTER on March 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BOLIVIA MEDICAL CENTER” is a dba name, the actual legal business name for this organization is SHALLOTTE MEDICAL CENTER INC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 18 years ago on Feb 05, 2008. 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 BOLIVIA MEDICAL CENTER below.

NPI Profile for
SHALLOTTE MEDICAL CENTER INC

NPI Number
1992764211
Enumeration Date

(more than 20 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
SHALLOTTE MEDICAL CENTER INC
Doing Business As (dba): BOLIVIA MEDICAL CENTER
Primary location
3875 BUSINESS HWY 17 E
BOLIVIA, NC 28422
Phone: (910) 253-7990 Fax: (910) 253-7990
Mailing address
PO BOX 409
BOLIVIA MEDICAL CENTER
BOLIVIA, NC 28422
Phone: (910) 253-7990 Fax: (910) 253-8028
Organization Subpart
No
Authorized Official
BERNARD LANGSTON
PRESIDENT
Phone: (910) 754-8731
Updated
Identifiers

Identifiers for BOLIVIA MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNC343928A
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
207Q00000X
- Family Medicine (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.