1063712727 TRIAD ADULT AND PEDIATRIC MEDICINE, INC.

Federally Qualified Health Center (FQHC)

Active

Basic Information

Organization Name
TRIAD ADULT AND PEDIATRIC MEDICINE, INC.
Enumeration Date
October 28, 2010
Last Update
November 26, 2013
Authorized Official
MR. BRIAN K ELLERBY MSPH
CHIEF EXECUTIVE OFFICER
Phone: (336) 355-9696

Practice Location

Address
1002 S EUGENE ST
GREENSBORO, NC 274061308
Phone
(336) 355-9701
Fax
(336) 676-6140

Mailing Address

Address
1002 S EUGENE ST
GREENSBORO, NC 274061308
Phone
(336) 355-9701
Fax
(336) 676-6140

Specialties & Taxonomies

Specialty Code Classification License State Primary
Clinic Pharmacy
Clinic Pharmacy
3336C0002X Pharmacy 10670 NC No
Federally Qualified Health Center (FQHC)
Federally Qualified Health Center (FQHC)
261QF0400X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
34D0700291 01 N/A CLIA
2348638A 01 NC MEDICARE PART B
344045A 05 NC N/A
3460247 01 N/A NCPDP
56162 01 NC MEDCOST
34-1962 01 NC MEDICARE PART A
344045B 05 NC N/A
344045C 05 NC N/A
024UF 01 NC BCBS

Frequently Asked Questions

What is TRIAD ADULT AND PEDIATRIC MEDICINE, INC.'s NPI number?
TRIAD ADULT AND PEDIATRIC MEDICINE, INC.'s NPI number is 1063712727.
Which doctor has NPI number 1063712727?
The doctor with NPI number 1063712727 is TRIAD ADULT AND PEDIATRIC MEDICINE, INC..
What is TRIAD ADULT AND PEDIATRIC MEDICINE, INC.'s practice address?
TRIAD ADULT AND PEDIATRIC MEDICINE, INC.'s practice address is 1002 S EUGENE ST, GREENSBORO, NC, 274061308.
Which doctor practices at 1002 S EUGENE ST, GREENSBORO, NC, 274061308?
TRIAD ADULT AND PEDIATRIC MEDICINE, INC. practices at 1002 S EUGENE ST, GREENSBORO, NC, 274061308.
What is TRIAD ADULT AND PEDIATRIC MEDICINE, INC.'s phone number?
TRIAD ADULT AND PEDIATRIC MEDICINE, INC.'s phone number is (336) 355-9701.
Who is (336) 355-9701?
(336) 355-9701 is the phone number for TRIAD ADULT AND PEDIATRIC MEDICINE, INC..
What is TRIAD ADULT AND PEDIATRIC MEDICINE, INC.'s specialty?
TRIAD ADULT AND PEDIATRIC MEDICINE, INC.'s specialty is Federally Qualified Health Center (FQHC).
What type of doctor is TRIAD ADULT AND PEDIATRIC MEDICINE, INC.?
TRIAD ADULT AND PEDIATRIC MEDICINE, INC. is a Federally Qualified Health Center (FQHC).
Is TRIAD ADULT AND PEDIATRIC MEDICINE, INC. a Federally Qualified Health Center (FQHC)?
Yes, TRIAD ADULT AND PEDIATRIC MEDICINE, INC. is a Federally Qualified Health Center (FQHC).
Is TRIAD ADULT AND PEDIATRIC MEDICINE, INC. still practicing?
Yes, TRIAD ADULT AND PEDIATRIC MEDICINE, INC. is currently practicing.
Is TRIAD ADULT AND PEDIATRIC MEDICINE, INC. accepting new patients?
TRIAD ADULT AND PEDIATRIC MEDICINE, INC. may be accepting new patients. Please call their office at (336) 355-9701 to inquire about availability.
Is NPI 1063712727 still active?
Yes, NPI 1063712727 is currently active.
Where does TRIAD ADULT AND PEDIATRIC MEDICINE, INC. practice?
TRIAD ADULT AND PEDIATRIC MEDICINE, INC. practices in GREENSBORO, NC.