Cah Acquisition Company 10 LLC

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

H0155 Issued in NC

Legal business name

CAH ACQUISITION COMPANY 10 LLC

Doing business as

Yadkin Valley Community Hosptial Professional Staff

Practice address

624 W Main St
Yadkinville, NC 27055-7804

Phone

(336) 679-2041

Fax

(336) 679-6717

NPI assigned

May 12, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Julia Norman

Title

Cfo

Phone

(336) 679-2041

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Yadkin Valley Community Hosptial Professional Staff Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1174841431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MAIN ST STE 2350",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641055186",
            "telephone_number": "336-679-2041",
            "fax_number": "336-679-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W MAIN ST",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270557804",
            "telephone_number": "336-679-2041",
            "fax_number": "336-679-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAH ACQUISITION COMPANY 10 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "336-679-2041",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "H0155",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NC",
            "license": "H0155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8907708",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yadkin Valley Community Hosptial Professional Staff",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Gentry Bullard, MSW, LCSWA
• Wanda J Burger, LPC
• Brooke Leigh Butler
• Jong Koo Byun, DDS
• Cah Acquisition Company 10 LLC (Yadkin Valley Community Hospital)
• Cah Acquisition Company 10 LLC (Yadkin Valley Community Physcians)
• Cah Acquisition Company 10 LLC (Yadkin Valley Community Hospital)
• Matthew A Cain, PTA
• Ashley Keys Campbell, NP-C
• Cape Fear Regional Transport Inc (Miller Ambulance Service)

• Critical Access Hospital in Yadkinville, NC
• Providers in Yadkinville, NC by specialty
• Critical Access Hospital in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.