NPIMap

Organization Active NPI

Cherokee Indian Hospital Authority

Doing business as CIHA MAT Clinic

  • Methadone Clinic
  • Cherokee, NC
National Provider Identifier
1295336386
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
CHEROKEE INDIAN HOSPITAL AUTHORITY
Doing business as
CIHA MAT Clinic
Practice address
149 Cherokee Hospital Loop
Cherokee, NC 28719
Phone
(828) 497-9163
NPI assigned
Nov 4, 2020
Last updated
Nov 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Authorized official

Name
Casey Mitchell Cooper
Title
Ceo
Phone
(828) 497-9163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X NU Primary

Addresses

Primary practice location

149 Cherokee Hospital Loop
Cherokee, NC 28719

Mailing address

1 Hospital Rd
Caller Box C-268
Cherokee, NC 28719
Phone (828) 497-9163

Other identifiers 1

IdentifierTypeStateIssuer
5012257MedicaidNC

Other names 1

  • CIHA MAT Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Cherokee

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments
Opioid treatment program
Medicare-enrolled since Jul 27, 2021

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031105000726 TX Part B Supplier - Clinic/Group Practice 2062320393 Receives reassigned benefits from 182 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cherokee, TX; Robbinsville, TX; Marble, TX; Cherokee, NC
O20201201001065 TX Part B Supplier - Opioid Treatment Program (Otp) 2062320393 Practice locations: Cherokee, NC

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Cherokee Indian Hospita24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Locations

267 Tsali Care Way
Cherokee, NC 28719
Phone (828) 497-5048

77 Paint Town Rd
Cherokee, NC 28719
Phone (828) 554-5561

60 Snowbird School Rd
Robbinsville, NC 28771

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tsali Care CenterCherokee, NC, CCN 345475 Skilled nursing facility Operational/Managerial Control Oct 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 104

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 104

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1295336386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL RD",
            "address_2": "CALLER BOX C-268",
            "city": "CHEROKEE",
            "state": "NC",
            "postal_code": "28719",
            "telephone_number": "828-497-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 CHEROKEE HOSPITAL LOOP",
            "city": "CHEROKEE",
            "state": "NC",
            "postal_code": "28719",
            "telephone_number": "828-497-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEROKEE INDIAN HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-497-9163"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5012257",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cherokee",
            "affiliation": "N",
            "address_1": "149 Cherokee Hospital Loop",
            "city": "Cherokee",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CIHA MAT Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cherokee, NC

Sources for this page

Verify at the official NPI Registry.