Organization Active NPI

Cah Acquisition Company 10 LLC

Doing business as Yadkin Valley Community Physcians

  • Family Medicine Physician
  • Yadkinville, NC
National Provider Identifier
1255659512
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0155 Issued in NC
Legal business name
CAH ACQUISITION COMPANY 10 LLC
Doing business as
Yadkin Valley Community Physcians
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

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Mrs. Julia B Norman
Title
Cfo
Phone
(336) 679-2041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X H0155 NC Primary

Addresses

Primary practice location

624 W Main St
Yadkinville, NC 27055-7804

Mailing address

1100 Main St Ste 2350
Kansas City, MO 64105-5186
Phone (336) 679-2041

Other identifiers 1

IdentifierTypeStateIssuer
89012JYMedicaidNC

Other names 1

  • Yadkin Valley Community Physcians Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1255659512",
    "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": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "336-679-2041",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "H0155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012JY",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yadkin Valley Community Physcians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yadkinville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.