Cah Acquisition Company 1 LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

H0006 Issued in NC

Legal business name

CAH ACQUISITION COMPANY 1 LLC

Doing business as

Washington County Medical Clinic

Practice address

9500 NC Highway 94 North
Creswell, NC 27928-8808

Phone

(252) 797-3869

Fax

(252) 797-3889

NPI assigned

Jul 8, 2011

Last updated

May 11, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

HMC/CAH CONSOLIDATED INCAs reported in NPPES

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

Addresses

Other names 1

• Washington County Medical Clinic Doing business as

Locations

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1699062802",
    "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": "252-797-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 NC HIGHWAY 94 NORTH",
            "city": "CRESWELL",
            "state": "NC",
            "postal_code": "279288808",
            "telephone_number": "252-797-3869",
            "fax_number": "252-797-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAH ACQUISITION COMPANY 1 LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HMC/CAH CONSOLIDATED INC",
        "enumeration_date": "2011-07-08",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NC",
            "license": "H0006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington County Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Washington County Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathie E Bollenbach, M.M.S., P.A.-C
• Creswell Rehab and Wellness S Corp
• Charles Donald Hill Jr., MSN, FNP-BC
• Reaching Independence & Self Empowerment
• Roanoke Chowan Community Health Center Inc (Creswell Primary Care)
• Lori Elizabeth Swain, MS, CCC-SLP

• Rural Health Clinic/Center in Creswell, NC
• Providers in Creswell, NC by specialty
• Rural Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.

Verify at the official NPI Registry.