Provider Demographics
NPI:1376290239
Name:IVX HEALTH OF NORTH CAROLINA, P.C.
Entity Type:Organization
Organization Name:IVX HEALTH OF NORTH CAROLINA, P.C.
Other - Org Name:IVX HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SVP, REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:RYCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-610-3733
Mailing Address - Street 1:214 CENTERVIEW DR STE 250
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-3248
Mailing Address - Country:US
Mailing Address - Phone:615-610-3733
Mailing Address - Fax:844-206-0796
Practice Address - Street 1:2309 MATTHEWS TOWNSHIP PKWY STE 101
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-2696
Practice Address - Country:US
Practice Address - Phone:615-610-3733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-09
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center