Provider Demographics
NPI:1215785241
Name:CARE FIRST MEDICAL P LLC
Entity type:Organization
Organization Name:CARE FIRST MEDICAL P LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:HELM
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:336-965-0233
Mailing Address - Street 1:2851 CARROLLTON PIKE STE A5
Mailing Address - Street 2:
Mailing Address - City:WOODLAWN
Mailing Address - State:VA
Mailing Address - Zip Code:24381-3664
Mailing Address - Country:US
Mailing Address - Phone:336-965-0233
Mailing Address - Fax:
Practice Address - Street 1:2851 CARROLLTON PIKE STE A5
Practice Address - Street 2:
Practice Address - City:WOODLAWN
Practice Address - State:VA
Practice Address - Zip Code:24381-3664
Practice Address - Country:US
Practice Address - Phone:336-965-0233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-06
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Single Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty