NPIMap

Cardinal Clinic, L.L.C.

Organization Active NPI Community/Behavioral Health Agency · Asheboro, NC

NPI 1053589812 · NPPES record last updated Feb 14, 2008

Key facts

NPI
1053589812
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
C004803 (NC)
Legal business name
CARDINAL CLINIC, L.L.C.
Practice address
1207 S Cox St Ste C
Asheboro, NC 27203-6961
Phone
(336) 318-2757
NPI assigned
Feb 14, 2008
Organization subpart
No

Authorized official

Name
Mary Britt
Title
Office Manager for Southern Pines
Phone
(888) 483-1238

Corporate family (same tax ID) 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Cardinal Clinic LLC (7 organizations share this tax ID)

Locations

1207 S Cox St
Ste C
Asheboro, NC 27203
Phone (336) 267-9596

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C004803 NC Yes

Addresses

Primary practice location

1207 S Cox St Ste C
Asheboro, NC 27203-6961

Mailing address

1207 S Cox St Ste C
Asheboro, NC 27203-6961
Phone (336) 318-2757

Other identifiers

IdentifierTypeStateIssuer
141E2OtherNCBCBS
185337OtherNCMEDCOST
6002931MedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 14, 2008.

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1053589812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 S COX ST STE C",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272036961",
            "telephone_number": "336-318-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 S COX ST STE C",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272036961",
            "telephone_number": "336-318-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL CLINIC, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "BRITT",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER FOR SOUTHERN PINES",
        "authorized_official_telephone_number": "18884831238"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C004803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "141E2",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "185337",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002931",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

All providers in Asheboro, NC · Community/Behavioral Health Agency in North Carolina

Sources for this page

Verify at the official NPI Registry.