NPI 1093083289

Optum Medical Services, P.C.

Organisation Preferred Provider Organization Raleigh, NC

Practice location

Address: 150 Fayetteville St Box 1011, Raleigh, NC 27601-1395
Phone: (952) 917-7217
Mailing address: 150 Fayetteville St Box1011, Raleigh, NC 27601-1395

Authorised official

Name: Kirk M Stanley
Title: Chief Operating Officer
Phone: (615) 523-5572

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in North Carolina →

Registry record

NPI: 1093083289
Entity type: Organization
NPI issued: 2 Dec 2011
Record last updated: 2 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.