Active NPI
Cah Acquisition Company 1 LLC
- Critical Access Hospital
- Plymouth, NC
National Provider Identifier
1124018494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- H0006
- Legal business name
- CAH ACQUISITION COMPANY 1 LLC
- Practice address
- 958 US Highway 64 E
Plymouth, NC 27962 - Phone
- (252) 793-4135
- Fax
- (252) 793-7740
- NPI assigned
- Oct 26, 2005
- Organization subpart
- Yes
- Parent organization
- CAH ACQUISITION COMPANY 1 LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Frank Titus Avignone IV
- Title
- Ceo
- Phone
- (214) 502-9624
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | H0006 | NC | Primary |
Addresses
Primary practice location
958 US Highway 64 E
Plymouth, NC 27962
Mailing address
7920 Belt Line Rd Ste 215
Dallas, TX 75254-8155
Phone (214) 502-9624
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3401314 | Medicaid | NC |
Other names 2
- WASHINGTON COUNTY HOSPITAL
- Washington Regional Medical Center
National Provider Directory
National Provider Directory- Part of
- Cah Acquisition Company 1
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Raleigh, NC
- NPI 1457855405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598832000000",
"number": "1124018494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7920 BELT LINE RD STE 215",
"city": "DALLAS",
"state": "TX",
"postal_code": "752548155",
"telephone_number": "214-502-9624",
"fax_number": "252-793-7740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "958 US HIGHWAY 64 E",
"city": "PLYMOUTH",
"state": "NC",
"postal_code": "27962",
"telephone_number": "252-793-4135",
"fax_number": "252-793-7740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAH ACQUISITION COMPANY 1 LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAH ACQUISITION COMPANY 1 LLC",
"enumeration_date": "2005-10-26",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A",
"authorized_official_last_name": "AVIGNONE",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "TITUS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "214-502-9624",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "IV"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "NC",
"license": "H0006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3401314",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WASHINGTON COUNTY HOSPITAL",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WASHINGTON COUNTY HOSPITAL",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Washington Regional Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Plymouth, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.