FH MANGUNDAYAO & FC MANGUNDAYAO PTR (NPI# 1619165164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619165164 |
Entity Type | Organization |
Organization Name | FH MANGUNDAYAO & FC MANGUNDAYAO PTR |
Practice Address |
292 South Main St. Denton NC 27239-1374 |
Mailing Address |
Po Box 1374 292 South Main St. Denton NC 27239-1374 |
Practice Telephone | 3368592121 |
Practice Fax Number | 3368592122 |
Mailing Telephone | 3368592121 |
Mailing Fax Number | 3368592122 |
Enumeration Date | 2007-10-10 |
Last Update Date | 2009-09-24 |
Authorized Official Name | DR. FLORITA C MANGUNDAYAO (M.D.) |
Authorized Official Telephone | 3368592121 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
22000 | NC | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | GROUP NPI FOR MEDICARE | 1619165164 | 01 |
Street Address |
292 SOUTH MAIN ST. |
City | DENTON |
State | NC |
Zip Code | 27239-1374 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104997147 | Felizardo Hocbo Mangundayao | Family Medicine | 292 South Main St., Denton, NC 27239 | 2006-11-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720545213 | Allison Rebecca Nance | Physical Therapy Assistant | 106 Mt Vista Health Park Road, Denton, NC 27239 | 2019-02-21 |
1881989036 | Supportive Care Solutions, LLC | Case Management | 56 West Salisbury St, Denton, NC 27239 | 2011-06-16 |
1982801270 | Jeanne Shore | Speech-Language Pathologist | 106 Moutnain Vista Rd, Denton, NC 27239 | 2007-06-29 |
1083818041 | Gloria Brooks Tolliver | Physical Therapist | 1547 Mountain Vista Road, Denton, NC 27239 | 2007-06-13 |
1629135744 | Florita Castor Mangundayao | Family Medicine | 292 South Main Street, Denton, NC 27239 | 2007-01-02 |
1427166149 | Barrett and Tanner Inc | Durable Medical Equipment & Medical Supplies | 17941 S. Hwy 109, Denton, NC 27239 | 2006-08-25 |
1972510071 | Yadkin Valley Health Care LLC | Pharmacy | 17955 Nc Hwy 109 S, Denton, NC 27239 | 2006-08-02 |
1619904786 | Terry Odell Bowman | Dentist | 49 Anderson St, Denton, NC 27239 | 2006-06-26 |
1295903664 | Tony M Cranford | Optometrist | 208 South Main St, Denton, NC 27239 | 2008-02-19 |
1528403748 | Gordon Hampton Bane Jr. | Physical Therapy Assistant | 106 Mountain Vista Road, Denton, NC 27239-0000 | 2013-05-01 |
Find all providers in zip 27239 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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1356447791 | People's Clinic of Denton County, Inc. | Clinic/Center | 505 S Locust St, Denton, TX 76201-6021 | 2006-09-15 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.