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OLDTOWN IMMEDIATE CARE, PA
NPI 1194060368
Family Medicine in Winston Salem, NC

Active since November 29, 2012
3690 REYNOLDA RD, WINSTON SALEM, NC 27106(336) 922-1363(336) 922-0723 Get Directions Write a Review

NPPES record last updated: December 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oldtown Immediate Care, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLDTOWN IMMEDIATE CARE, PA (NPI 1194060368) is a healthcare organization registered as a family medicine in Winston Salem, North Carolina and active in the NPI registry since November 2012. The organization lists Henry Franklin Tripp, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1194060368
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOLDTOWN IMMEDIATE CARE, PA
Location Address3690 REYNOLDA RDWinston Salem, NC 27106-2240
Mailing AddressPo Box 30575Winston Salem, NC 27130-0575 · (336) 922-1363
Phone(336) 922-1363
Fax(336) 922-0723
Organization SubpartNo
Authorized OfficialHenry Franklin TrippMedical Director · (336) 993-3146
Enumeration DateNovember 29, 2012
Last NPPES UpdateDecember 13, 2012
✔ NPI 1194060368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 40655
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3690 REYNOLDA RD, Winston Salem, NC 27106
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLD TOWN FAMILY MEDICINE, P A
Clinic/Center
3690 REYNOLDA RD
WINSTON SALEM, NC 27106
Forsyth County (336) 922-1363

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oldtown Immediate Care, PA's NPI number?

The NPI number for Oldtown Immediate Care, PA is 1194060368. It was assigned to this organization in the NPPES registry on November 29, 2012.

Where is Oldtown Immediate Care, PA located?

Oldtown Immediate Care, PA is located at 3690 Reynolda Rd, Winston Salem, NC 27106. The listed phone number is (336) 922-1363.

What is Oldtown Immediate Care, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Oldtown Immediate Care, PA was last updated on December 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.