Provider Demographics
NPI: | 1881968709 |
---|---|
Name: | MCPC-7, LLC |
Entity type: | Organization |
Organization Name: | MCPC-7, LLC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | MICKEY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | FOSTER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 910-715-4473 |
Mailing Address - Street 1: | 102 ENDO LN STE 2 |
Mailing Address - Street 2: | |
Mailing Address - City: | HAMLET |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 28345-4563 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 910-205-3035 |
Mailing Address - Fax: | 910-205-1489 |
Practice Address - Street 1: | 102 ENDO LN STE 2 |
Practice Address - Street 2: | |
Practice Address - City: | HAMLET |
Practice Address - State: | NC |
Practice Address - Zip Code: | 28345-4563 |
Practice Address - Country: | US |
Practice Address - Phone: | 910-205-3035 |
Practice Address - Fax: | 910-205-1489 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2012-02-24 |
Last Update Date: | 2025-02-05 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
174400000X, 207L00000X, 207Q00000X, 207QG0300X, 207RG0100X, 207RP1001X, 207RN0300X, 207X00000X, 207ZP0101X, 207ZP0102X, 363LA2200X, 363LF0000X, 367500000X, 207R00000X | ||
NC | 207VF0040X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty | |
No | 174400000X | Other Service Providers | Specialist | Group - Multi-Specialty | |
No | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | Group - Multi-Specialty | |
No | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
No | 207QG0300X | Allopathic & Osteopathic Physicians | Family Medicine | Geriatric Medicine | Group - Multi-Specialty |
No | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology | Group - Multi-Specialty |
No | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | Group - Multi-Specialty |
No | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology | Group - Multi-Specialty |
No | 207VF0040X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Urogynecology and Reconstructive Pelvic Surgery | Group - Multi-Specialty |
No | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Group - Multi-Specialty | |
No | 207ZP0101X | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology | Group - Multi-Specialty |
No | 207ZP0102X | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology | Group - Multi-Specialty |
No | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health | Group - Multi-Specialty |
No | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | Group - Multi-Specialty |
No | 367500000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered | Group - Multi-Specialty |