NPIMap

Organization Active NPI

Cardinal Clinic LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Hamlet, NC
National Provider Identifier
1689757809
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
CARDINAL CLINIC LLC
Practice address
841 Circlewood Dr
Hamlet, NC 28345-4529
Phone
(910) 582-4171
NPI assigned
Oct 23, 2006
Last updated
Jul 28, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CARDINAL CLINIC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Carol Doyle, RHIA
Title
QM Manager
Phone
(910) 222-6234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

841 Circlewood Dr
Hamlet, NC 28345-4529

Mailing address

1540 Purdue Dr Ste 200
Fayetteville, NC 28303-5510
Phone (910) 867-8889

Other identifiers 1

IdentifierTypeStateIssuer
6603922MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Cardinal Clinic LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1689757809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 PURDUE DR STE 200",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035510",
            "telephone_number": "910-867-8889",
            "fax_number": "910-487-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 CIRCLEWOOD DR",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283454529",
            "telephone_number": "910-582-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARDINAL CLINIC, LLC",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "QM MANAGER",
        "authorized_official_telephone_number": "910-222-6234",
        "authorized_official_credential": "RHIA"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603922",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamlet, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.