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HEALTHSTAT ONSITE CLINIC ETHAN ALLEN
NPI 1396295689
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Maiden, NC

Active since October 11, 2016
24 SALEM CHURCH RD, MAIDEN, NC 28650(704) 529-6161 Get Directions Write a Review

NPPES record last updated: October 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Healthstat Onsite Clinic Ethan Allen NPPES

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

HEALTHSTAT ONSITE CLINIC ETHAN ALLEN (NPI 1396295689) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Maiden, North Carolina and active in the NPI registry since October 2016. The organization lists Warren Hutton, Coo, as its authorized official.

NPPES Registry Identity

NPI1396295689
Entity TypeOrganization
Primary Taxonomy2083P0500X
Legal Business NameHEALTHSTAT ONSITE CLINIC ETHAN ALLEN
Location Address24 SALEM CHURCH RDMaiden, NC 28650-8363
Mailing Address4651 Charlotte Park Dr, Suite 300Charlotte, NC 28217-1956 · (704) 529-6161
Phone(704) 529-6161
Organization SubpartNo
Authorized OfficialWarren HuttonCoo · (704) 529-6161
Enumeration DateOctober 11, 2016
✔ NPI 1396295689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
24 SALEM CHURCH RD, Maiden, NC 28650
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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

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 Healthstat Onsite Clinic Ethan Allen's NPI number?

The NPI number for Healthstat Onsite Clinic Ethan Allen is 1396295689. It was assigned to this organization in the NPPES registry on October 11, 2016.

Where is Healthstat Onsite Clinic Ethan Allen located?

Healthstat Onsite Clinic Ethan Allen is located at 24 Salem Church Rd, Maiden, NC 28650. The listed phone number is (704) 529-6161.

What is Healthstat Onsite Clinic Ethan Allen's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

When was this NPI record last updated?

The NPPES record for Healthstat Onsite Clinic Ethan Allen was last updated on October 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.