SENIOR CARELINX, PA NPI 1215115530

Legal Medicine in Winston Salem, NC

Organization Legal Medicine

About SENIOR CARELINX, PA

Senior Carelinx, Pa is a provider established in Winston Salem, North Carolina specializing in legal medicine. The NPI number of Senior Carelinx, Pa is 1215115530 and was assigned on February 2008. The practitioner's primary taxonomy code is 173000000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Senior Carelinx, Pa operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. John Gambino Md (President)

NPI

1215115530

Provider NameSENIOR CARELINX, PA
Provider Location Address3880 VEST MILL RD SUITE 100 WINSTON SALEM, NC 27103
Provider Mailing Address3880 VEST MILL RD SUITE 100 WINSTON SALEM, NC 27103
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date02-08-2008
Last Update Date02-08-2008

Primary Taxonomy

Taxonomy Code173000000X
ClassificationLegal Medicine
TypeOther Service Providers
Taxonomy DescriptionThe specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

Business Address

SENIOR CARELINX, PA
3880 VEST MILL RD
SUITE 100
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 245-5407
Fax: (336) 251-1117

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Mailing Address

SENIOR CARELINX, PA
3880 VEST MILL RD
SUITE 100
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 245-5407
Fax: (336) 251-1117

Authorized Official

Authorized Official NameMR. JOHN GAMBINO MD
Authorized Official TitlePRESIDENT
Authorized Official Phone(336) 251-1114

Group Taxonomy


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

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023061140PHYSCIANS ELDERCARE
Organization
Nurse Practitioner (Gerontology)3880 VEST MILL RD
WINSTON-SALEM, NC 27103
(336) 245-5403
1427012301 CAROL A BROWN NP
Individual
Nurse Practitioner (Adult Health)3880 VEST MILL RD SUITE 100
WINSTON SALEM, NC 27103
(336) 251-1114
1639398076 KRISTIELYNNE CUTLER
Individual
Nurse Practitioner (Gerontology)3880 VEST MILL RD 100
WINSTON SALEM, NC 27103
(336) 251-1114

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.