Organization Name: | CAH ACQUISITION COMPANY 1 LLC |
NPI Number: | 1699062802 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES CAMERON HIGHSMITH (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 9500 Nc Highway 94 North Creswell |
State: | NC US |
Postal Code: | 279288808 |
Phone Number: | 2527973869 |
Fax Number: | 2527973889 |
NPI Enumeration Date: | 07/08/2011 |
NPI Last Update Date: | 06/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | H0006 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |